Individual provider Active NPI

Daniel Joel Weller, DMD

  • General Practice Dentistry
  • Chester, NJ
National Provider Identifier
1508029299
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01024800 Issued in NJ
Practice address
530 East Main St
BLDG a Suite 1a
Chester, NJ 07930-0174
Phone
(908) 879-5333
Fax
(908) 879-9402
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI01024800 NJ Primary

Addresses

Primary practice location

530 East Main St
BLDG a Suite 1a
Chester, NJ 07930-0174

Mailing address

PO Box 174
530 East Main St BLDG a Suite 1a
Chester, NJ 07930-0174
Phone (908) 879-5333

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
22DI01024800NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1508029299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 174",
            "address_2": "530 EAST MAIN ST BLDG A SUITE 1A",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079300174",
            "telephone_number": "908-879-5333",
            "fax_number": "908-879-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 EAST MAIN ST",
            "address_2": "BLDG A SUITE 1A",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079300174",
            "telephone_number": "908-879-5333",
            "fax_number": "908-879-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLER",
        "first_name": "DANIEL",
        "middle_name": "JOEL",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01024800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.