NPIMap

Organization Active NPI

Welleby Family Dental

  • Dentist
  • Sunrise, FL
National Provider Identifier
1700164423
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15391 Issued in FL
Legal business name
WELLEBY FAMILY DENTAL
Practice address
10127 W Oakland Park Blvd
Sunrise, FL 33351-6918
Phone
(954) 748-7100
NPI assigned
Jul 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Authorized official

Name
Steven Difilippo
Title
Owner
Phone
(954) 748-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN15391 FL Primary

Addresses

Primary practice location

10127 W Oakland Park Blvd
Sunrise, FL 33351-6918

Mailing address

10127 W Oakland Park Blvd
Sunrise, FL 33351
Phone (954) 748-7100

National Provider Directory

National Provider Directory

Locations

10127 W Oakland Park Blvd
Sunrise, FL 33351
Phone (954) 748-7100

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1700164423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10127 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "954-748-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10127 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516918",
            "telephone_number": "954-748-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLEBY FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "DIFILIPPO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-748-7100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.