Organization Active NPI

Brett Weedon, DDS, P.a.

  • Dentist
  • Frederick, MD
National Provider Identifier
1174960215
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRETT WEEDON, DDS, P.A.
Doing business as
Dental Services of Frederick
Practice address
198 Thomas Johnson Drive
Suite 203
Frederick, MD 21702
Phone
(301) 620-1117
Fax
(301) 620-9768
NPI assigned
May 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Brett Everette Weedon, D.D.S.NPI 1164666905
Title
Owner/President
Phone
(301) 807-9284

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

198 Thomas Johnson Drive
Suite 203
Frederick, MD 21702

Mailing address

198 Thomas Johnson Drive
Suite 203
Frederick, MD 21702
Phone (301) 620-1117

Other names 1

  • Dental Services of Frederick Doing business as

National Provider Directory

National Provider Directory

Locations

198 Thomas Johnson Dr
Ste 203
Frederick, MD 21702
Phone (301) 620-1117

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": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1174960215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 THOMAS JOHNSON DRIVE",
            "address_2": "SUITE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-620-1117",
            "fax_number": "301-620-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 THOMAS JOHNSON DRIVE",
            "address_2": "SUITE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-620-1117",
            "fax_number": "301-620-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT WEEDON, DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "WEEDON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "EVERETTE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "301-807-9284",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Services of Frederick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.