Organization Active NPI

Mark M Weiman DMD LTD

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1275778425
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.016338 Issued in IL
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

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Dr. Mark Weiman, DMDNPI 1598900748
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.