NPIMap

Organization Active NPI

Weimerskirch Family Dental, PLLC

  • Dentist
  • East Dubuque, IL
National Provider Identifier
1588157101
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WEIMERSKIRCH FAMILY DENTAL, PLLC
Practice address
406 Wall St
East Dubuque, IL 61025
Phone
(815) 747-2263
Fax
(815) 747-2265
NPI assigned
Jun 8, 2018
Last updated
Mar 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Bradley WeimerskirchNPI 1841783552
Title
Owner Dentist
Phone
(815) 747-2263

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

406 Wall St
East Dubuque, IL 61025

Mailing address

406 Wall St
East Dubuque, IL 61025-1432
Phone (815) 747-2263

National Provider Directory

National Provider Directory

Locations

406 Wall St
East Dubuque, IL 61025
Phone (815) 747-2263

Practitioners & affiliated clinicians

Practitioners 2

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": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1588157101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 WALL ST",
            "city": "EAST DUBUQUE",
            "state": "IL",
            "postal_code": "610251432",
            "telephone_number": "815-747-2263",
            "fax_number": "815-747-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 WALL ST",
            "city": "EAST DUBUQUE",
            "state": "IL",
            "postal_code": "61025",
            "telephone_number": "815-747-2263",
            "fax_number": "815-747-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIMERSKIRCH FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "WEIMERSKIRCH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "815-747-2263"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Dubuque, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.