Bruce a Weitz DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

30016126 Issued in OH

Legal business name

BRUCE A WEITZ DDS INC

Practice address

1700 Cooper Foster Park Rd W
Lorain, OH 44053-3679

Phone

(440) 282-1396

Fax

(440) 282-1396

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bruce A Weitz, DDS

Title

President

Phone

(440) 282-1396

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1114191889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 COOPER FOSTER PARK RD W",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533679",
            "telephone_number": "440-282-1396",
            "fax_number": "440-282-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 COOPER FOSTER PARK RD W",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533679",
            "telephone_number": "440-282-1396",
            "fax_number": "440-282-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A WEITZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "WEITZ",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-282-1396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30016126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0872908",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Brown, LPCC
• Symone Brown
• Yolanda Maureen Brown
• Ronnette Browning, LPN
• Anna Maria Broz, CNP
• Virginia Bertha-Anne Brugger, CNP
• Mike D Brummitt, LICDC-LISW
• Kathy A Brunner
• Lyn Bruno, CDCA
• Scott Bryan, AT

• Dentist in Lorain, OH
• Providers in Lorain, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.