Active NPI
Amanda S Weigt, D.M.D
- Dentist
- Sheppard Afb, TX
National Provider Identifier
1205983350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0005499
- Practice address
- 149 Hart St
Suite 4
Sheppard Afb, TX 76311-3477 - Phone
- (940) 676-4474
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0005499 | AL | Primary |
Addresses
Primary practice location
149 Hart St
Suite 4
Sheppard Afb, TX 76311-3477
Mailing address
149 Hart St
Suite 4
Sheppard Afb, TX 76311-3477
Phone (940) 676-4474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160308000663 | AL | Order and Referring Only - Other (Non-Physician) | 8426354093 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0005499 | AL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205983350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 HART ST",
"address_2": "SUITE 4",
"city": "SHEPPARD AFB",
"state": "TX",
"postal_code": "763113477",
"telephone_number": "940-676-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 HART ST",
"address_2": "SUITE 4",
"city": "SHEPPARD AFB",
"state": "TX",
"postal_code": "763113477",
"telephone_number": "940-676-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIGT",
"first_name": "AMANDA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "0005499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheppard Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.