Individual provider Active NPI

Jonathan Kent Weisner, D.M.D.

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1508246547
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10050 Issued in NC
Practice address
13271 Strickland Rd
Raleigh, NC 27613
Phone
(919) 872-7363
NPI assigned
Jun 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10050 NC
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10050 NC Primary

Addresses

Primary practice location

13271 Strickland Rd
Raleigh, NC 27613

Mailing address

8450 Louisburg Rd Ste 130
Raleigh, NC 27616-5884

Other practice location 1

1930 Alcoa Hwy
Medical Building A, Suite 340
Knoxville, TN 37920-1500
Phone (865) 305-9440

Other practice location 2

8204 Tryon Woods Dr Ste 102
Cary, NC 27518-7164
Phone (919) 851-6161

Other practice location 3

8204 Tryon Woods Dr Ste 102
Cary, NC 27518-7164
Phone (919) 851-6161

Other practice location 4

8450 Louisburg Rd
Raleigh, NC 27616-5884
Phone (919) 266-5332

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
10050NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Paula M Stapleton DDS PLLC General Practice Past Accepting new patients
L. Brett Wells DDS PA Dentist Past Accepting new patients
L.Brett Wells DDS III PLLC General Practice PastSince Jan 12, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1508246547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 LOUISBURG RD STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13271 STRICKLAND RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27613",
            "telephone_number": "919-872-7363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Alcoa Hwy",
            "address_2": "Medical Building A, Suite 340",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379201500",
            "country_code": "US",
            "telephone_number": "865-305-9440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8204 Tryon Woods Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187164",
            "country_code": "US",
            "telephone_number": "919-851-6161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8204 Tryon Woods Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187164",
            "country_code": "US",
            "telephone_number": "919-851-6161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8450 Louisburg Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276165884",
            "country_code": "US",
            "telephone_number": "919-266-5332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISNER",
        "first_name": "JONATHAN",
        "middle_name": "KENT",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10050",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.