Organization Active NPI

Jeffrey H. Weiss, D.D.S., P.C. Dental Associates

  • Dental Clinic/Center
  • Dearborn Heights, MI
National Provider Identifier
1073655593
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901011363 Issued in MI
Legal business name
JEFFREY H. WEISS, D.D.S., P.C. DENTAL ASSOCIATES
Practice address
22320 Ford Rd
Dearborn Heights, MI 48127-2421
Phone
(313) 563-3400
Fax
(313) 563-7653
NPI assigned
Feb 12, 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
Dr. Jeffrey Herbert Weiss, D.D.S.NPI 1801938311
Title
Treasurer
Phone
(313) 563-3400

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 2901011363 MI Primary

Addresses

Primary practice location

22320 Ford Rd
Dearborn Heights, MI 48127-2421

Mailing address

22320 Ford Rd
Dearborn Heights, MI 48127-2421
Phone (313) 563-3400

National Provider Directory

National Provider Directory

Locations

22320 Ford Rd
Dearborn Heights, MI 48127
Phone (313) 563-3400

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073655593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22320 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272421",
            "telephone_number": "313-563-3400",
            "fax_number": "313-563-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22320 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272421",
            "telephone_number": "313-563-3400",
            "fax_number": "313-563-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY H. WEISS, D.D.S., P.C. DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "313-563-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901011363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, 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.