Active NPI
Weingarten DDS Inc
- Dental Clinic/Center
- Valley Village, CA
National Provider Identifier
1972359370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- WEINGARTEN DDS INC
- Doing business as
- Lilac Pediatric Dental
- Practice address
- 12660 Riverside Dr Ste 210
Valley Village, CA 91607-3430 - Phone
- (818) 284-6018
- NPI assigned
- Apr 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Flynne V Weingarten, DDS
- Title
- President, Owner
- Phone
- (574) 303-2533
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
12660 Riverside Dr Ste 210
Valley Village, CA 91607-3430
Mailing address
4213 Farmdale Ave
Studio City, CA 91604-2939
Phone (157) 430-3253
Other names 1
- Lilac Pediatric Dental
National Provider Directory
National Provider DirectoryLocations
12660 Riverside Dr
Ste 210
Valley Village, CA 91607
Phone (818) 284-6018
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Valley Village, CA
- NPI 1598028417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714089600000",
"number": "1972359370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4213 FARMDALE AVE",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916042939",
"telephone_number": "157-430-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12660 RIVERSIDE DR STE 210",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916073430",
"telephone_number": "818-284-6018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEINGARTEN DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-26",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A",
"authorized_official_last_name": "WEINGARTEN",
"authorized_official_first_name": "FLYNNE",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT, OWNER",
"authorized_official_telephone_number": "574-303-2533",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lilac Pediatric Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Valley Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.