Organization Active NPI

Professional Endodontics of Pinellas County PA

  • Endodontics
  • St Petersburg, FL
National Provider Identifier
1811033111
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN15522 Issued in FL
Legal business name
PROFESSIONAL ENDODONTICS OF PINELLAS COUNTY PA
Practice address
509 Pasadena Avenue South
St Petersburg, FL 33707
Phone
(727) 384-4255
Fax
(727) 384-4264
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Margaret Helen Young, DDSNPI 1487790770
Title
Owner
Phone
(727) 384-4255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DN15522 FL Primary

Addresses

Primary practice location

509 Pasadena Avenue South
St Petersburg, FL 33707

Mailing address

509 Pasadena Avenue South
St Petersburg, FL 33707
Phone (727) 384-4255

National Provider Directory

National Provider Directory

Locations

509 Pasadena Ave S
St Petersburg, FL 33707
Phone (727) 347-2335

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811033111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 PASADENA AVENUE SOUTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33707",
            "telephone_number": "727-384-4255",
            "fax_number": "727-384-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 PASADENA AVENUE SOUTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33707",
            "telephone_number": "727-384-4255",
            "fax_number": "727-384-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ENDODONTICS OF PINELLAS COUNTY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-384-4255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN15522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.