Organization Active NPI

Weingarten DDS Inc

  • Dental Clinic/Center
  • Valley Village, CA
National Provider Identifier
1972359370
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Dr. Flynne V Weingarten, DDSNPI 1598028417
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.