Bryan Weyneth, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019-022089 Issued in IL

Practice address

1100 Sherman Ave
#103
Naperville, IL 60563-8608

Phone

(630) 369-5225

NPI assigned

Apr 18, 2012

Last updated

Oct 8, 2019By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sherman Oaks Dental Center LLC

  • Dental Clinic/Center
  • Naperville, IL
  • NPI 1831409762
  NPD (past) Authorized official

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1346507167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHERMAN AVE",
            "address_2": "#103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638608",
            "telephone_number": "630-369-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SHERMAN AVE",
            "address_2": "#103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638608",
            "telephone_number": "630-369-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYNETH",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-022089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence James Westenberg, LCSW, MSW, MSED
• Darcy Wexelbaum
• Franz Weyandt, D.M.D.
• Katherine Weyandt, DPT
• Nicole Weydert
• Kevin Whalen, DPT
• Wheatland Dental Care LTD
• Wheatland Sleep Solution
• Kris Sandra Wheatley, L.C.P.C.,N.C.C.
• Wheaton Eye Clinic LTD (Wheaton Eye Clinic)

• Dentist in Naperville, IL
• Providers in Naperville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.