NPIMap

Organization Active NPI

Thomas N Weigel DDS PC

  • General Practice Dentistry
  • Hazel Park, MI
National Provider Identifier
1053447490
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14244 Issued in MI
Legal business name
THOMAS N WEIGEL DDS PC
Practice address
23411 John R Street
Hazel Park, MI 48030
Phone
(248) 544-9010
NPI assigned
Feb 27, 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
Thomas Nelson Weigel, DDS
Title
President
Phone
(248) 544-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14244 MI Primary

Addresses

Primary practice location

23411 John R Street
Hazel Park, MI 48030

Mailing address

23411 John R Street
Hazel Park, MI 48030
Phone (248) 544-9010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053447490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23411 JOHN R STREET",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "48030",
            "telephone_number": "248-544-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23411 JOHN R STREET",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "48030",
            "telephone_number": "248-544-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS N WEIGEL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEIGEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-544-9010",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Park, MI

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.