Individual provider Active NPI

Rebeca-Ann Weinstock, DDS

  • Dentist
  • Altamonte Springs, FL
National Provider Identifier
1619169083
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN18105 Issued in FL
Practice address
664 Palm Springs Dr
Altamonte Springs, FL 32701-7847
Phone
(407) 834-6446
Fax
(407) 830-4978
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN18105 FL Primary

Addresses

Primary practice location

664 Palm Springs Dr
Altamonte Springs, FL 32701-7847

Mailing address

664 Palm Springs Dr
Altamonte Springs, FL 32701-7847
Phone (407) 834-6446

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160224001649 FL Order and Referring Only - DentistPractitioner - Dentist 4082919360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael L. Weinstock, DDS, PA Past Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1619169083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 PALM SPRINGS DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017847",
            "telephone_number": "407-834-6446",
            "fax_number": "407-830-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 PALM SPRINGS DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017847",
            "telephone_number": "407-834-6446",
            "fax_number": "407-830-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTOCK",
        "first_name": "REBECA-ANN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.