Active NPI
Karl Weiss, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bridgeville, PA
National Provider Identifier
1306809876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DS028733L
- Practice address
- 1597 Washington Pike
Suite A5
Bridgeville, PA 15017-2881 - Phone
- (412) 279-4800
- Fax
- (412) 279-7119
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | S3-217C | NV | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D7644 | AZ | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 13913 | MD | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS028733L | PA | Primary |
Addresses
Primary practice location
1597 Washington Pike
Suite A5
Bridgeville, PA 15017-2881
Mailing address
926 Great Pond Dr
Suite 2003
Altamonte Springs, FL 32714-7244
Phone (407) 772-5124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015258430029 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13913 | MD | MD | Clinical Social Worker |
| D7644 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| S3-217C | NV | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| DS028733L | PA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. James T. Katsur and Associates PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Bridgeville, PA
- NPI 1992766752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1306809876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 GREAT POND DR",
"address_2": "SUITE 2003",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327147244",
"telephone_number": "407-772-5124",
"fax_number": "407-788-3572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1597 WASHINGTON PIKE",
"address_2": "SUITE A5",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150172881",
"telephone_number": "412-279-4800",
"fax_number": "412-279-7119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "KARL",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NV",
"license": "S3-217C",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AZ",
"license": "D7644",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "13913",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "DS028733L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015258430029",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.