Active NPI
Jeffrey Oppenberg, D.M.D.
- Dentist
- Largo, FL
National Provider Identifier
1780912725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN8942
- Practice address
- 11935 85TH St
Largo, FL 33773-2718 - Phone
- (727) 410-1162
- NPI assigned
- Dec 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN8942 | FL | Primary |
Addresses
Primary practice location
11935 85TH St
Largo, FL 33773-2718
Mailing address
11935 85TH St
Largo, FL 33773-2718
Phone (727) 410-1162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075594000 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN8942 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1780912725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11935 85TH ST",
"city": "LARGO",
"state": "FL",
"postal_code": "337732718",
"telephone_number": "727-410-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11935 85TH ST",
"city": "LARGO",
"state": "FL",
"postal_code": "337732718",
"telephone_number": "727-410-1162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPPENBERG",
"first_name": "JEFFREY",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-03",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN8942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "075594000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.