Individual provider Active NPI

Flynne V Weingarten, D.D.S

  • Pediatric Dentistry
  • Valley Village, CA
National Provider Identifier
1598028417
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
101046 Issued in CA
Practice address
12660 Riverside Dr Ste 210
Valley Village, CA 91607-3430
Phone
(818) 284-6018
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI02503800 NJ
Pediatric Dentistry 1223P0221X 101046 CA Primary

Addresses

Primary practice location

12660 Riverside Dr Ste 210
Valley Village, CA 91607-3430

Mailing address

12660 Riverside Dr Ste 210
Valley Village, CA 91607-3430
Phone (574) 303-2533

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

LicenseStateTypeSpecialty
101046CAMDMarriage & Family Therapist
DI02503800NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Weingarten DDS Inc CurrentSince Apr 28, 2024 Accepting new patients

Locations

12660 Riverside Dr
Ste 210
Valley Village, CA 91607
Phone (818) 284-6018

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.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1598028417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 RIVERSIDE DR STE 210",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073430",
            "telephone_number": "574-303-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12660 RIVERSIDE DR STE 210",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073430",
            "telephone_number": "818-284-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINGARTEN",
        "first_name": "FLYNNE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI02503800",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "101046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.