Active NPI
Daniel Weller, MD
- Specialist
- Muskegon, MI
National Provider Identifier
1487621967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4301026531
- Practice address
- 1440 E Harbour Towne Cir
Muskegon, MI 49441-6401 - Phone
- (231) 755-3936
- NPI assigned
- Mar 3, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 4301026531 | MI | Primary |
Addresses
Primary practice location
1440 E Harbour Towne Cir
Muskegon, MI 49441-6401
Mailing address
1440 E Harbour Towne Cir
Muskegon, MI 49441-6401
Phone (231) 755-3936
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356652800000",
"number": "1487621967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 E HARBOUR TOWNE CIR",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494416401",
"telephone_number": "231-755-3936",
"fax_number": "231-215-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 E HARBOUR TOWNE CIR",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494416401",
"telephone_number": "231-755-3936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLER",
"first_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2012-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "4301026531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.