Penney Weeks DMD PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN14682 Issued in FL

Legal business name

PENNEY WEEKS DMD PA

Practice address

200 Solana Road
Ponte Vedra Beach, FL 32082

Phone

(904) 285-1990

NPI assigned

Dec 21, 2006

Last updated

Aug 22, 2020By 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

Penney Weeks, DMDNPI 1407897630

Title

Dentist

Phone

(904) 285-1990

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.

• Penney Weeks, DMD

  • Dentist
  • Ponte Vedra Beach, FL
  • NPI 1407897630
  NPD Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922162072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOLANA ROAD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "32082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOLANA ROAD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "32082",
            "telephone_number": "904-285-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNEY WEEKS DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "PENNEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "904-285-1990",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Dentist in Florida

• 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.