Individual provider Active NPI

R. Geoffrey Weihe, D.D.S.

  • Dentist
  • Tampa, FL
National Provider Identifier
1477728681
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN4730 Issued in FL
Practice address
612 W de Leon St
Tampa, FL 33606-2720
Phone
(813) 253-3041
Fax
(813) 254-3389
NPI assigned
Apr 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN4730 FL Primary

Addresses

Primary practice location

612 W de Leon St
Tampa, FL 33606-2720

Mailing address

612 W de Leon St
Tampa, FL 33606-2720
Phone (813) 253-3041

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
DN4730FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1477728681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W DE LEON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062720",
            "telephone_number": "813-253-3041",
            "fax_number": "813-254-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W DE LEON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062720",
            "telephone_number": "813-253-3041",
            "fax_number": "813-254-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIHE",
        "first_name": "R.",
        "middle_name": "GEOFFREY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN4730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.