Individual provider Active NPI

Paten Stuart Weinman, DMD

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1225698400
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN01878 Issued in GA
Practice address
3490 Piedmont Rd NE Ste 110
Atlanta, GA 30305-4808
Phone
(404) 266-1300
Fax
(404) 365-8526
NPI assigned
Jun 19, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN01878 GA Primary

Addresses

Primary practice location

3490 Piedmont Rd NE Ste 110
Atlanta, GA 30305-4808

Mailing address

3490 Piedmont Rd NE Ste 110
Atlanta, GA 30305-4808
Phone (404) 266-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN01878GAMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1225698400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 PIEDMONT RD NE STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054808",
            "telephone_number": "404-266-1300",
            "fax_number": "404-365-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 PIEDMONT RD NE STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054808",
            "telephone_number": "404-266-1300",
            "fax_number": "404-365-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINMAN",
        "first_name": "PATEN",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN01878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.