Active NPI
Richard S. Weinbaum, DPM
- Podiatrist
- High Point, NC
National Provider Identifier
1427019033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 122
- Practice address
- 1814 Westchester Dr
Ste 300
High Point, NC 27262-7369 - Phone
- (336) 802-2055
- Fax
- (336) 802-2056
- NPI assigned
- Mar 31, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 122 | NC | Primary |
Addresses
Primary practice location
1814 Westchester Dr
Ste 300
High Point, NC 27262-7369
Mailing address
1701 Westchester Dr
Ste 850
High Point, NC 27262-7254
Phone (336) 802-2400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908189 | Medicaid | NC | |
| 480031935 | Other | NC | RR MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Health Care PA | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Statesville, NC
- NPI 1275914046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246492800000",
"number": "1427019033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 WESTCHESTER DR",
"address_2": "STE 850",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272627254",
"telephone_number": "336-802-2400",
"fax_number": "336-802-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1814 WESTCHESTER DR",
"address_2": "STE 300",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272627369",
"telephone_number": "336-802-2055",
"fax_number": "336-802-2056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBAUM",
"first_name": "RICHARD",
"middle_name": "S.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2009-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NC",
"license": "122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908189",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "480031935",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.