St. Petersburg Dental Implant Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ST. PETERSBURG DENTAL IMPLANT CENTER

Practice address

5637 49TH St N
St Petersburg, FL 33709-2105

Phone

(301) 437-8232

Fax

(727) 354-4016

NPI assigned

Jun 24, 2024

Last updated

Jun 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Vellis, DDSNPI 1699980953

Title

Owner

Phone

(301) 437-8232

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James G Vellis, DDS

  • Dentist
  • Lexington, KY
  • NPI 1699980953
  NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1730923814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5637 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092105",
            "telephone_number": "301-437-8232",
            "fax_number": "727-354-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5637 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092105",
            "telephone_number": "301-437-8232",
            "fax_number": "727-354-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETERSBURG DENTAL IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "VELLIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-437-8232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Pete Injury Centers, LLC
• St. Pete Physical Therapy
• St. Pete Therapy Center
• St. Petersburg Center for Performance and Weight Loss
• St. Petersburg Counseling, LLC
• St. Petersburg Dermatology, LLC
• St. Petersburg Endoscopy Center LLC
• St. Petersburg Free Clinic
• St. Petersburg General Hospital
• St. Petersburg General Surgery LLC

• Dental Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.