Fredric William Weissich, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31881 Issued in CA

Practice address

50100 Golsh Rd
Valley Center, CA 92082-5338

Phone

(760) 749-1410

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1245458694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14175 HALF MOON BAY DR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142906",
            "telephone_number": "415-317-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50100 GOLSH RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920825338",
            "telephone_number": "760-749-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSICH",
        "first_name": "FREDRIC",
        "middle_name": "WILLIAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine M Ver Weire-Haisan, RDH, BSDH, MPH (C)
• Robert Glenn Vertrees, CHIROPRACTOR
• Victoria a Kuhl, PH.D., a Medical Corporation
• Vista Hill Foundation
• Kathryn E Von Zumwalt Tisch
• Robert Oldham Young, PHD
• Richard Zecha, OTR/L

• General Practice Dentistry in Valley Center, CA
• Providers in Valley Center, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.