Earl Weisbrod, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6958 Issued in AZ

Practice address

3845 N 32ND St
Phoenix, AZ 85018-4901

Phone

(602) 956-2050

Fax

(602) 956-6027

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1316033491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 E PALMAIRE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205532",
            "telephone_number": "602-569-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184901",
            "telephone_number": "602-956-2050",
            "fax_number": "602-956-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBROD",
        "first_name": "EARL",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Weir, CNM
• Melissa Weir, OTRL
• Shannon Daly Weir, DDS
• Shenell Miriah Weis, PHARMD
• Sophia Y Weis, AG-ACNP
• Jonathan Berman Weisbuch, MD
• Elizabeth Weise, LCSW
• Quinn Weisensee
• Cindy Caplan Weiser, LCSW
• Glenda Weisman, MD

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.