The Weingarten Institute for Neuroscience, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

D18399 Issued in GU

Legal business name

THE WEINGARTEN INSTITUTE FOR NEUROSCIENCE, INC.

Practice address

545 Chalan San Antonio Ste 302
Tamuning, GU 96913-3632

Phone

(671) 864-8695

Fax

(671) 989-9140

NPI assigned

Aug 29, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David M Weingarten, MD

Title

Owner

Phone

(671) 864-8695

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578080727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 CHALAN SAN ANTONIO STE 302",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133632",
            "telephone_number": "671-864-8695",
            "fax_number": "671-989-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 CHALAN SAN ANTONIO STE 302",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133632",
            "telephone_number": "671-864-8695",
            "fax_number": "671-989-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WEINGARTEN INSTITUTE FOR NEUROSCIENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEINGARTEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "671-864-8695",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GU",
            "license": "D18399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Medical Specialty Clinic/Center in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.