Ted C Weesner, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D8267 Issued in OR

Legal business name

TED C WEESNER, DDS

Practice address

18676 Willamette Dr Ste 303
West Linn, OR 97068-1718

Phone

(503) 636-7010

Fax

(503) 636-9851

NPI assigned

May 8, 2008

Last updated

May 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Paula L Anderson

Title

Office Manager

Phone

(503) 636-7010

Specialties & licenses 1

Addresses

Locations

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.

• Ted C Weesner, DDS

  • Periodontics
  • West Linn, OR
  • NPI 1134152663
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1467629527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18676 WILLAMETTE DR STE 303",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681718",
            "telephone_number": "503-636-7010",
            "fax_number": "503-636-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18676 WILLAMETTE DR STE 303",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681718",
            "telephone_number": "503-636-7010",
            "fax_number": "503-636-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED C WEESNER, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-636-7010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D8267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in West Linn, OR
• Providers in West Linn, OR by specialty
• Periodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.