Organization Active NPI

Chana Weller DDS PLLC

  • Dentist
  • Nyc, NY
National Provider Identifier
1336200732
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
039533 Issued in NY
Legal business name
CHANA WELLER DDS PLLC
Practice address
41 West 72ND Street
#10
Nyc, NY 10023
Phone
(212) 721-8373
Fax
(212) 721-8373
NPI assigned
Dec 12, 2006
Last updated
Mar 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Dr. Chana L Weller, DDS PLLCNPI 1497905210
Title
Owner
Phone
(212) 721-8373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 039533 NY Primary

Addresses

Primary practice location

41 West 72ND Street
#10
Nyc, NY 10023

Mailing address

41 West 72ND Street
#10
Ny, NY 10023
Phone (212) 721-8373

Other names 1

  • Advanced Dentistry Associates Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1336200732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WEST 72ND STREET",
            "address_2": "#10",
            "city": "NY",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "212-721-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WEST 72ND STREET",
            "address_2": "#10",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "212-721-8373",
            "fax_number": "212-721-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANA WELLER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "WELLER",
        "authorized_official_first_name": "CHANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-721-8373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PLLC"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "039533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dentistry Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nyc, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.