Individual provider Active NPI

Seymour Weiner, DDS

  • Endodontics
  • Sunrise, FL
National Provider Identifier
1477663904
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7102 Issued in FL
Practice address
8200 W Sunrise Blvd
Suite B-2
Sunrise, FL 33322-5112
Phone
(954) 404-4633
Fax
(954) 616-5773
NPI assigned
Aug 30, 2006
Last updated
May 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN7102 FL
Endodontics 1223E0200X 7102 FL Primary

Addresses

Primary practice location

8200 W Sunrise Blvd
Suite B-2
Sunrise, FL 33322-5112

Mailing address

8200 W Sunrise Blvd Ste B2
Sunrise, FL 33322-5112
Phone (954) 404-4633

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

LicenseStateTypeSpecialty
7102FLMDEndodontist
DN7102FLMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Endodontics Endodontics 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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1477663904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W SUNRISE BLVD STE B2",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333225112",
            "telephone_number": "954-404-4633",
            "fax_number": "954-166-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W SUNRISE BLVD",
            "address_2": "SUITE B-2",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333225112",
            "telephone_number": "954-404-4633",
            "fax_number": "954-616-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "SEYMOUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN7102",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "7102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.