Individual provider Active NPI

Jared Weiss

  • Dentist
  • Sherman Oaks, CA
National Provider Identifier
1396153409
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63770 Issued in CA
Practice address
13250 Moorpark St
Unit 6
Sherman Oaks, CA 91423-5120
Phone
(818) 447-2444
NPI assigned
Aug 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63770 CA Primary

Addresses

Primary practice location

13250 Moorpark St
Unit 6
Sherman Oaks, CA 91423-5120

Mailing address

13250 Moorpark St
Unit 6
Sherman Oaks, CA 91423-5120
Phone (818) 447-2444

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jared Weiss DDS, Inc. CurrentSince Jul 27, 2020 Accepting new patients

Locations

176 Auburn Ct
Ste 1
Westlake Village, CA 91362
Phone (805) 497-1644

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": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1396153409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13250 MOORPARK ST",
            "address_2": "UNIT 6",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235120",
            "telephone_number": "818-447-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13250 MOORPARK ST",
            "address_2": "UNIT 6",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235120",
            "telephone_number": "818-447-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "JARED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.