Individual provider Active NPI

Eric Weed, DDS

  • General Practice Dentistry
  • Weddington, NC
National Provider Identifier
1598219792
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS041008 Issued in PA
Practice address
1011 Heritage Acres
Weddington, NC 28104-7612
Phone
(814) 826-8783
NPI assigned
Aug 5, 2016
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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 DS041008 PA Primary

Addresses

Primary practice location

1011 Heritage Acres
Weddington, NC 28104-7612

Mailing address

1011 Heritage Acres
Weddington, NC 28104-7612

Other practice location 1

2014 Sandy Dr
State College, PA 16803-2515
Phone (814) 238-2431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 29, 2016 through Aug 29, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS041008PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Weed DDS PLLC General Practice CurrentSince Oct 23, 2022 Accepting new patients
Kotary, Detar & Associates General Practice Past Accepting new patients
Aligned Dental of Centre County, PC PastSince Nov 10, 2019 Accepting new patients

Locations

510 S Highway 27
Stanley, NC 28164
Phone (704) 263-4646

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1598219792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 HERITAGE ACRES",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281047612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HERITAGE ACRES",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281047612",
            "telephone_number": "814-826-8783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2014 Sandy Dr",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032515",
            "country_code": "US",
            "telephone_number": "814-238-2431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEED",
        "first_name": "ERIC",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-05",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weddington, NC

Sources for this page

Verify at the official NPI Registry.