Organization Active NPI

Brad Weiss DDS, LTD

Doing business as Weiss Dental Arts

  • Customized Equipment (DME)
  • Skokie, IL
National Provider Identifier
1245919190
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
BRAD WEISS DDS, LTD
Doing business as
Weiss Dental Arts
Practice address
9555 Gross Point Rd
Skokie, IL 60076-1356
Phone
(847) 864-0188
Fax
(847) 475-8511
NPI assigned
Jul 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Tiffany Weiss
Title
Business Manager
Phone
(847) 310-2494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

9555 Gross Point Rd
Skokie, IL 60076-1356

Mailing address

9555 Gross Point Rd
Skokie, IL 60076-1356
Phone (847) 864-0188

Other names 1

  • Weiss Dental Arts Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1245919190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 GROSS POINT RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761356",
            "telephone_number": "847-864-0188",
            "fax_number": "847-475-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 GROSS POINT RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761356",
            "telephone_number": "847-864-0188",
            "fax_number": "847-475-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD WEISS DDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "847-310-2494"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weiss Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.