Active NPI
Jeffrey L. Weinfeld, D.D.S.
- General Practice Dentistry
- West Bloomfield, MI
National Provider Identifier
1477574960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901012860
- Practice address
- 6024 W Maple Rd
Suite 105
West Bloomfield, MI 48322-4405 - Phone
- (248) 661-2222
- Fax
- (248) 661-3128
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2901012860 | MI | Primary |
Addresses
Primary practice location
6024 W Maple Rd
Suite 105
West Bloomfield, MI 48322-4405
Mailing address
6024 W Maple Rd
Suite 105
West Bloomfield, MI 48322-4405
Phone (248) 661-2222
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 |
|---|---|---|---|
| 2901012860 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220313600000",
"number": "1477574960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6024 W MAPLE RD",
"address_2": "SUITE 105",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483224405",
"telephone_number": "248-661-2222",
"fax_number": "248-661-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6024 W MAPLE RD",
"address_2": "SUITE 105",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483224405",
"telephone_number": "248-661-2222",
"fax_number": "248-661-3128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINFELD",
"first_name": "JEFFREY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2008-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901012860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.