Active NPI
Brett Weedon, DDS, P.a.
- Dentist
- Frederick, MD
National Provider Identifier
1174960215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Frederick, MD
- NPI 1164666905
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.