Dr. Kevin T Weitzel DMD Ms LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30-022995 Issued in OH

Legal business name

DR. KEVIN T WEITZEL DMD MS LLC

Practice address

3535 Fishinger Blvd
Hilliard, OH 43026-7504

Phone

(614) 586-3994

NPI assigned

Apr 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kevin T Weitzel, DMDNPI 1154558328

Title

Owner

Phone

(614) 876-4277

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Timothy Weitzel, D.M.D.

  • Dentist
  • Hilliard, OH
  • NPI 1154558328
  Authorized official Same address or phone

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1326481011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 FISHINGER BLVD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267504",
            "telephone_number": "614-586-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 FISHINGER BLVD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267504",
            "telephone_number": "614-586-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KEVIN T WEITZEL DMD MS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "WEITZEL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-876-4277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30-022995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3104992",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.