Organization Active NPI

Adam Weiss DDS PC

Doing business as Amsterdam Oral Surgery & Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Amsterdam, NY
National Provider Identifier
1487012902
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
54496 Issued in NY
Legal business name
ADAM WEISS DDS PC
Doing business as
Amsterdam Oral Surgery & Dental Implant Center
Practice address
37 Prospect St
Amsterdam, NY 12010-3614
Phone
(518) 514-3983
NPI assigned
Jan 29, 2016
Last updated
May 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Dr. Adam Weiss, DDSNPI 1326201005
Title
President
Phone
(518) 514-3983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 54496 NY Primary

Addresses

Primary practice location

37 Prospect St
Amsterdam, NY 12010-3614

Mailing address

1809 Potter Rd
Amsterdam, NY 12010-8522
Phone (631) 312-1806

Other identifiers 2

IdentifierTypeStateIssuer
03886757MedicaidNY
03569835MedicaidNY

Other names 1

  • Amsterdam Oral Surgery & Dental Implant Center Doing business as

National Provider Directory

National Provider Directory

Locations

37 Prospect St
Amsterdam, NY 12010
Phone (518) 428-7709

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1487012902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 POTTER RD",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120108522",
            "telephone_number": "631-312-1806",
            "fax_number": "518-203-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PROSPECT ST",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120103614",
            "telephone_number": "518-514-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM WEISS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-514-3983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "54496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03886757",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03569835",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amsterdam Oral Surgery & Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amsterdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.