Jacob Nicholas Weigle, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

9048 Issued in KY

Practice address

620 Perimeter Dr Ste 103
Lexington, KY 40517-4125

Phone

(859) 268-7668

Fax

(859) 972-0772

NPI assigned

Aug 17, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment NPD
• University of Kentucky

  • Dentist
  • Lexington, KY
  • NPI 1306929385
  NPD

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1033499496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 PERIMETER DR STE 103",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174125",
            "telephone_number": "502-548-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 PERIMETER DR STE 103",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174125",
            "telephone_number": "859-268-7668",
            "fax_number": "859-972-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGLE",
        "first_name": "JACOB",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9048",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "KY",
            "license": "9048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Shinru Wei, M.D., PH.D.
• Sainan Wei
• Zhuang-Yao Daniel Wei, MD
• Margaret G Weibroer, RN
• Cassie L Weig, RN
• Carly Weiglein, SLP
• Joy Cobern Weiner, APRN
• Bobby Weinmann Lopez
• David Weinreb, MD
• William Weir, MD

• Endodontics in Lexington, KY
• Providers in Lexington, KY by specialty
• Endodontics in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.