Active NPI
Herbert P Pleiman Jr., DDS
- Dentist
- Rockledge, FL
National Provider Identifier
1528124229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN10598
- Practice address
- 1744 Cedar Street
Brevard County Health Department
Rockledge, FL 32955 - Phone
- (321) 634-6349
- Fax
- (321) 690-3276
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN10598 | FL | Primary |
Addresses
Primary practice location
1744 Cedar Street
Brevard County Health Department
Rockledge, FL 32955
Mailing address
2575 N Courtenay Pkwy
Brevard County Health Department
Merritt Island, FL 32953
Phone (321) 639-5787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN10598 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Bronson, FL
- NPI 1154395390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528124229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 N COURTENAY PKWY",
"address_2": "BREVARD COUNTY HEALTH DEPARTMENT",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "32953",
"telephone_number": "321-639-5787",
"fax_number": "321-639-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1744 CEDAR STREET",
"address_2": "BREVARD COUNTY HEALTH DEPARTMENT",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "32955",
"telephone_number": "321-634-6349",
"fax_number": "321-690-3276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLEIMAN",
"first_name": "HERBERT",
"middle_name": "P",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN10598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.