Nick Weiss DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12011545A Issued in IN

Legal business name

NICK WEISS DDS LLC

Practice address

2801 E Carowinds CT
Bloomington, IN 47401-9716

Phone

(262) 227-1348

NPI assigned

Feb 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nick Weiss, DDS

Title

Dentist/Owner

Phone

(262) 227-1348

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423267200000",
    "number": "1073904470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 E CAROWINDS CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474019716",
            "telephone_number": "262-227-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E CAROWINDS CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474019716",
            "telephone_number": "262-227-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK WEISS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-07",
        "last_updated": "2015-02-07",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "262-227-1348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12011545A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brechin Marie Newby, MD
• Sarah Michele Newcomer, RPH
• Jan Marlene Newell, PT
• Elizabeth Ann Newman, O.D., M.P.H.
• Christopher Nguyen, RBT
• Nicki Williamson, MSW, LCSW, LLC
• Megan S Nickless, MS
• Janna Kasting Nickoll, NP
• Brett Niehaus, DPT
• Perinjit K Niehaus, PA-C

• Dental Clinic/Center in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2015; 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.