Organization Active NPI

Joshua P Weintraub DDS,P.a.

  • Dental Clinic/Center
  • Stevenson, MD
National Provider Identifier
1225533763
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12513 Issued in MD
Legal business name
JOSHUA P WEINTRAUB DDS,P.A.
Practice address
10407 Stevenson Rd
Stevenson, MD 21153-0600
Phone
(410) 764-8500
Fax
(410) 764-8504
NPI assigned
Mar 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Miss Emily PerryNPI 1952965014
Title
Front Desk Coordinator
Phone
(410) 764-8526

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
Dental Clinic/Center 261QD0000X 12513 MD Primary

Addresses

Primary practice location

10407 Stevenson Rd
Stevenson, MD 21153-0600

Mailing address

10407 Stevenson Rd
Stevenson, MD 21153-0600
Phone (410) 764-8500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1225533763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10407 STEVENSON RD",
            "city": "STEVENSON",
            "state": "MD",
            "postal_code": "211530600",
            "telephone_number": "410-764-8500",
            "fax_number": "410-764-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10407 STEVENSON RD",
            "city": "STEVENSON",
            "state": "MD",
            "postal_code": "211530600",
            "telephone_number": "410-764-8500",
            "fax_number": "410-764-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA P WEINTRAUB DDS,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "FRONT DESK COORDINATOR",
        "authorized_official_telephone_number": "410-764-8526",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "12513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevenson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.