Individual provider Active NPI

Amrita Wheeley, DMD

  • Dentist
  • St Petersburg, FL
National Provider Identifier
1649533605
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19801 Issued in FL
Practice address
400 Carillon Pkwy Ste 120
Castille Building
St Petersburg, FL 33716-1290
Phone
(727) 299-0728
NPI assigned
Jun 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19801 FL Primary

Addresses

Primary practice location

400 Carillon Pkwy Ste 120
Castille Building
St Petersburg, FL 33716-1290

Mailing address

2938 West Bay Dr C
Belleair Bluffs, FL 33770-2636
Phone (727) 584-5548

Other names 1

  • Amrita Marajh - Selz Former name

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
I20160111001182 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4082916820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1649533605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2938 WEST BAY DR C",
            "city": "BELLEAIR BLUFFS",
            "state": "FL",
            "postal_code": "337702636",
            "telephone_number": "727-584-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CARILLON PKWY STE 120",
            "address_2": "CASTILLE BUILDING",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161290",
            "telephone_number": "727-299-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELEY",
        "first_name": "AMRITA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-24",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMRITA",
            "last_name": "MARAJH - SELZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.