Organization Active NPI

Avi Weiner DMD LLC

Doing business as Avenue Smiles

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1356730394
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS039877 Issued in PA
Legal business name
AVI WEINER DMD LLC
Doing business as
Avenue Smiles
Practice address
7300 City Ave RM 350
Philadelphia, PA 19151-2245
Phone
(215) 877-0900
NPI assigned
Jan 14, 2015
Last updated
Jan 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Authorized official

Name
Dr. Avraham A Weiner, DMDNPI 1730476615
Title
Dentist
Phone
(215) 877-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS039877 PA Primary

Addresses

Primary practice location

7300 City Ave RM 350
Philadelphia, PA 19151-2245

Mailing address

7300 City Ave RM 350
Philadelphia, PA 19151-2245
Phone (215) 877-0900

Other names 1

  • Avenue Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

8830 Gap Newport Pike
Avondale, PA 19311
Phone (610) 268-8300

7300 City Line Ave
Rm 350
Philadelphia, PA 19151
Phone (215) 877-0900

Practitioners & affiliated clinicians

Practitioners 2

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": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1356730394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 CITY AVE RM 350",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512245",
            "telephone_number": "215-877-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 CITY AVE RM 350",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512245",
            "telephone_number": "215-877-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVI WEINER DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "AVRAHAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-877-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.