NPIMap

Organization Active NPI

Rebecca Weightman, DMD Inc

  • Periodontics
  • Pasadena, CA
National Provider Identifier
1215664107
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
REBECCA WEIGHTMAN, DMD INC
Practice address
747 Locust St Ste 200
Pasadena, CA 91101-4457
Phone
(626) 796-5361
Fax
(626) 796-3857
NPI assigned
Aug 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Evette L Bowden
Title
Insurance Coordinator
Phone
(626) 796-5361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

747 Locust St Ste 200
Pasadena, CA 91101-4457

Mailing address

747 Locust St Ste 200
Pasadena, CA 91101-4457
Phone (626) 796-3857

Other names 1

  • Rebecca Weightman DMD, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

747 Locust St
Ste 200
Pasadena, CA 91101
Phone (626) 796-5361

Practitioners & affiliated clinicians

Practitioners 5

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": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1215664107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 LOCUST ST STE 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014457",
            "telephone_number": "626-796-3857",
            "fax_number": "626-796-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 LOCUST ST STE 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014457",
            "telephone_number": "626-796-5361",
            "fax_number": "626-796-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA WEIGHTMAN, DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "EVETTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "626-796-5361"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebecca Weightman DMD, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.