Brady Elmer Weispfennig, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1123 Issued in SD

Practice address

18 W Division St
Elbow Lake, MN 56531-4136

Phone

(218) 685-4710

NPI assigned

Jul 5, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1124470034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "ELBOW LAKE",
            "state": "MN",
            "postal_code": "565310026",
            "telephone_number": "218-685-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W DIVISION ST",
            "city": "ELBOW LAKE",
            "state": "MN",
            "postal_code": "565314136",
            "telephone_number": "218-685-4710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Prairie Ave SW",
            "address_purpose": "LOCATION",
            "city": "DE Smet",
            "state": "SD",
            "postal_code": "572312333",
            "country_code": "US",
            "telephone_number": "605-854-3444",
            "fax_number": "605-854-9952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISPFENNIG",
        "first_name": "BRADY",
        "middle_name": "ELMER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D1123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Schmall, RN
• Thane Steven Schmidt, P.T.
• Trumm Drug Inc
• Trumm Drug Inc
• Karen Kay Wander
• West Central Minnesota Communities Action, Inc.
• Marlene Ann Wood, NP

• General Practice Dentistry in Elbow Lake, MN
• Providers in Elbow Lake, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.