Individual provider Active NPI

Brian M Weinberg, D.M.D.

  • Dentist
  • Highland Park, IL
National Provider Identifier
1326593468
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.030646 Issued in IL
Practice address
1770 1St St Ste 410
Highland Park, IL 60035-3237
Phone
(847) 432-5520
NPI assigned
Aug 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.030646 IL Primary

Addresses

Primary practice location

1770 1St St Ste 410
Highland Park, IL 60035-3237

Mailing address

1770 1St St Ste 410
Highland Park, IL 60035-3237
Phone (847) 432-5520

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

LicenseStateTypeSpecialty
019.030646ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Brian M Weinerg DMD LTD Dentist CurrentSince Feb 26, 2023 Accepting new patients
Lloyd Sigman, DDS, LTD. PastSince Feb 26, 2023 Accepting new patients

Locations

1770 1st St
Ste 410
Highland Park, IL 60035
Phone (847) 432-5520

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1326593468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 1ST ST STE 410",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353237",
            "telephone_number": "847-432-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 1ST ST STE 410",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353237",
            "telephone_number": "847-432-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "BRIAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.