Patricia Joleen Weiss, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6987 Issued in WA

Practice address

3421 Kitsap Way
Ste F
Bremerton, WA 98312-2601

Phone

(360) 373-2025

NPI assigned

Oct 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346330644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 KITSAP WAY",
            "address_2": "STE F",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122601",
            "telephone_number": "360-373-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 KITSAP WAY",
            "address_2": "STE F",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122601",
            "telephone_number": "360-373-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "PATRICIA",
        "middle_name": "JOLEEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNEMPLOYMENT TAX NUM",
            "identifier": "815225 00 4",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Wecks, BS
• Michael O'Brien Weeks, MD
• Susan W Weinstein, MSW LCSW
• Brennan Weiss
• David Weiss
• Jeffrey Weist, MSW, LICSW
• Amanda Welch
• Cassandra Welch
• Jeffrey Welch
• Kristyn M Weldon

• General Practice Dentistry in Bremerton, WA
• Providers in Bremerton, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.