Individual provider Active NPI

David Blyweiss, MD

  • General Practice Physician
  • Sunny Isles Beach, FL
National Provider Identifier
1669659694
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME42858 Issued in FL
Practice address
18600 Collins Ave
Sunny Isles Beach, FL 33160-2426
Phone
(305) 931-8484
NPI assigned
Jan 22, 2008
Last updated
Mar 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME42858 FL Primary

Addresses

Primary practice location

18600 Collins Ave
Sunny Isles Beach, FL 33160-2426

Mailing address

18600 Collins Ave
Sunny Isles Beach, FL 33160-2426
Phone (305) 931-8484

Other identifiers 1

IdentifierTypeStateIssuer
42858OtherFLME42858

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME42858FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton-Dandes Center for Integrative Medicine LLC Past Accepting new patients
Martin Dayton, DO, PA PastSince May 19, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1669659694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 COLLINS AVE",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602426",
            "telephone_number": "305-931-8484",
            "fax_number": "305-936-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 COLLINS AVE",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602426",
            "telephone_number": "305-931-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYWEISS",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME42858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME42858",
            "identifier": "42858",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.