Individual provider Active NPI

Tammy Renee Weyandt, DDS

  • Dentist
  • Allen, TX
National Provider Identifier
1356454763
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19591 Issued in TX
Practice address
806 S Allen Heights
Suite 400
Allen, TX 75002
Phone
(972) 359-6611
Fax
(972) 359-6311
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19591 TX Primary

Addresses

Primary practice location

806 S Allen Heights
Suite 400
Allen, TX 75002

Mailing address

5805 Andover
Parker, TX 75002
Phone (972) 442-5207

Other identifiers 2

IdentifierTypeStateIssuer
731266OtherUNITED CONCORDIA
119716OtherUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160413002172 TX Order and Referring Only - DentistPractitioner - Dentist 0446558167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356454763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 ANDOVER",
            "city": "PARKER",
            "state": "TX",
            "postal_code": "75002",
            "telephone_number": "972-442-5207",
            "fax_number": "972-359-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S ALLEN HEIGHTS",
            "address_2": "SUITE 400",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75002",
            "telephone_number": "972-359-6611",
            "fax_number": "972-359-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYANDT",
        "first_name": "TAMMY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "731266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "119716",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.