Active NPI
Adam Weis, DDS.
- General Practice Dentistry
- Fairbanks, AK
National Provider Identifier
1356949622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 167490
- Practice address
- 3112 Airport Way Ste 1
Fairbanks, AK 99709-4768 - Phone
- (907) 452-1250
- Fax
- (907) 456-1307
- NPI assigned
- Oct 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 167490 | AK | Primary |
Addresses
Primary practice location
3112 Airport Way Ste 1
Fairbanks, AK 99709-4768
Mailing address
3112 Airport Way Ste 1
Fairbanks, AK 99709-4768
Phone (907) 452-1250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167490 | AK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairbanks Dental Center LLC | Current | Accepting new patients |
Locations
3112 Airport Way
Ste 1
Fairbanks, AK 99709
Phone (907) 452-1250
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1356949622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3112 AIRPORT WAY STE 1",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094768",
"telephone_number": "907-452-1250",
"fax_number": "907-456-1307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3112 AIRPORT WAY STE 1",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094768",
"telephone_number": "907-452-1250",
"fax_number": "907-456-1307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIS",
"first_name": "ADAM",
"credential": "DDS.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-09",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AK",
"license": "167490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.