NPIMap

Organization Active NPI

Stephen a Weiner DDS PA

  • Dentist
  • Baltimore, MD
National Provider Identifier
1407184104
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4658 Issued in MD
Legal business name
STEPHEN A WEINER DDS PA
Practice address
124 Slade Ave
101
Baltimore, MD 21208-4900
Phone
(410) 764-0330
Fax
(410) 764-0356
NPI assigned
Nov 18, 2009
Last updated
Nov 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Dr. Stephen Alan Weiner, DDSNPI 1457499006
Title
President
Phone
(410) 764-0330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4658 MD Primary
Dentist 122300000X 08698 MD

Addresses

Primary practice location

124 Slade Ave
101
Baltimore, MD 21208-4900

Mailing address

124 Slade Ave
101
Baltimore, MD 21208-4900
Phone (410) 764-0330

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1407184104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SLADE AVE",
            "address_2": "101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084900",
            "telephone_number": "410-764-0330",
            "fax_number": "410-764-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SLADE AVE",
            "address_2": "101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084900",
            "telephone_number": "410-764-0330",
            "fax_number": "410-764-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A WEINER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-764-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "4658",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "08698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.