NPIMap

Individual provider Active NPI

Daniel Kenneth Weese, D.M.D.

  • Dentist
  • Birmingham, AL
National Provider Identifier
1164687729
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5643 Issued in AL
Practice address
524 Red Lane Rd
Suite F
Birmingham, AL 35215-8245
Phone
(205) 836-4044
Fax
(205) 836-4311
NPI assigned
Jul 23, 2008
Last updated
Jul 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5643 AL Primary

Addresses

Primary practice location

524 Red Lane Rd
Suite F
Birmingham, AL 35215-8245

Mailing address

2001 20TH Ave S
Birmingham, AL 35209-1343
Phone (615) 260-6067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5643ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dentist in Action Past Accepting new patients
Dentists in Action, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1164687729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 20TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091343",
            "telephone_number": "615-260-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 RED LANE RD",
            "address_2": "SUITE F",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352158245",
            "telephone_number": "205-836-4044",
            "fax_number": "205-836-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEESE",
        "first_name": "DANIEL",
        "middle_name": "KENNETH",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.