Active NPI
Mark M Weiman DMD LTD
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1275778425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.016338
- Legal business name
- MARK M WEIMAN DMD LTD
- Practice address
- 30 N Michigan Ave Ste 809
Chicago, IL 60602-3776 - Phone
- (312) 372-3377
- Fax
- (312) 372-5663
- NPI assigned
- Dec 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Weiman, DMD
- Title
- President
- Phone
- (312) 372-3377
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.016338 | IL | Primary |
Addresses
Primary practice location
30 N Michigan Ave Ste 809
Chicago, IL 60602-3776
Mailing address
30 N Michigan Ave Ste 809
Chicago, IL 60602-3776
Phone (312) 372-3377
National Provider Directory
National Provider DirectoryLocations
30 N Michigan Ave
Ste 809
Chicago, IL 60602
Phone (312) 372-3377
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1598900748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228176000000",
"number": "1275778425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE STE 809",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023776",
"telephone_number": "312-372-3377",
"fax_number": "312-372-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE STE 809",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023776",
"telephone_number": "312-372-3377",
"fax_number": "312-372-5663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK M WEIMAN DMD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-02",
"last_updated": "2008-12-02",
"status": "A",
"authorized_official_last_name": "WEIMAN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-372-3377",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.016338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.