Delta Health Management, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5771 Issued in FL

Legal business name

DELTA HEALTH MANAGEMENT, INC

Practice address

1 Doctors LN
Lake Wales, FL 33853-4956

Phone

(863) 676-8536

Fax

(863) 676-1629

NPI assigned

May 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Maurice Maxwell Weaver, DDS

Title

Dentist

Phone

(863) 676-8536

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Fernanda Chirivella, DMD

  • Dentist
  • Lake Wales, FL
  • NPI 1609761386
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528272135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DOCTORS LN",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534956",
            "telephone_number": "863-676-8536",
            "fax_number": "863-676-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DOCTORS LN",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534956",
            "telephone_number": "863-676-8536",
            "fax_number": "863-676-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTH MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "MAXWELL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "863-676-8536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "5771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cessenie Davis
• Elease Davis
• Geydi De la Pax Perez
• Victoria De Lissovoy, LCSW
• Yesenia Dejesus-Suarez, CRNA
• Nydia Gricelle Deltoro Rivera, MD, WCC. DWC, CWS
• Theresa Sunshine Delvalle, COTA
• Veronica E Diaz
• Marianne Dimetry, PHARMD
• Sentreila Collen Dinkens, RN

• General Practice Dentistry in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.