Fred Lee Weiner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

033402 Issued in CA

Practice address

18399 Ventura Blvd
#254
Tarzana, CA 91356-4233

Phone

(818) 881-1231

Fax

(818) 881-1981

NPI assigned

Oct 2, 2006

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daniel Herrera DDS Inc

  • General Practice Dentistry
  • Tarzana, CA
  • NPI 1891551339
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295828903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18399 VENTURA BLVD",
            "address_2": "#254",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564233",
            "telephone_number": "818-881-1231",
            "fax_number": "818-881-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18399 VENTURA BLVD",
            "address_2": "#254",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564233",
            "telephone_number": "818-881-1231",
            "fax_number": "818-881-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "FRED",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "033402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kenneth E Way Jr., D.D.S.
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• Robert A Weissman, M.D.
• Welfare Home Health Inc.
• Wellness Matters, Inc.

• General Practice Dentistry in Tarzana, CA
• Providers in Tarzana, 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 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.