Mark Jerome Weingarden, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS021236 Issued in PA

Practice address

4290 William Flynn Hwy
Suite 104
Allison Park, PA 15101-1443

Phone

(412) 487-8288

Fax

(412) 486-4668

NPI assigned

Oct 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235223439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 WILLIAM FLYNN HWY",
            "address_2": "SUITE 104",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151011443",
            "telephone_number": "412-487-8288",
            "fax_number": "412-486-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 WILLIAM FLYNN HWY",
            "address_2": "SUITE 104",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151011443",
            "telephone_number": "412-487-8288",
            "fax_number": "412-486-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINGARDEN",
        "first_name": "MARK",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS021236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Dehaven Wagner, LCSW
• Ashley Louise Wakefield, OTR/L
• Marilyn L Walczak, CRNP
• Tomilyn Ward, MSPC
• Ingrid Wecht, M.D.
• Madeline Wells, PT, DPT
• West Penn Comprehensive Health Care (Hampton Medical Center)
• Chuntina White, CRNP, FNP-C
• Graham C White, CRNA
• Timothy Michael Whitford, MA, CRC

• Periodontics in Allison Park, PA
• Providers in Allison Park, PA by specialty
• Periodontics in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.