Carole Ann Medvesky, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9949 Issued in FL

Practice address

2329 Sunset Point Rd
Ste 202
Clearwater, FL 33765-1455

Phone

(727) 799-3815

Fax

(727) 797-4860

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sunset Sleep Medicine Inc

  • Dental Clinic/Center
  • Clearwater, FL
  • NPI 1538615331
  NPD (past) Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1598899221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 SUNSET POINT RD",
            "address_2": "STE 202",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651455",
            "telephone_number": "727-799-3815",
            "fax_number": "727-797-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 SUNSET POINT RD",
            "address_2": "STE 202",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651455",
            "telephone_number": "727-799-3815",
            "fax_number": "727-797-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDVESKY",
        "first_name": "CAROLE",
        "middle_name": "ANN",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "9949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Services of America Inc
• Medical Solutions Direct
• Medical Supplies Fla
• Brandon Louis Mednick, MD
• Medsource, LLC
• Medway Medical Centers of Clearwater LLC
• Medx Diagnostic Service
• Olivia Meek
• Jasmin Megino
• Jillian Meidenbauer, OTR/L

• General Practice Dentistry in Clearwater, FL
• Providers in Clearwater, 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 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.