Jason M Weilacher, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6308 Issued in OK

Practice address

3520 E 31St St
Tulsa, OK 74135-1505

Phone

(918) 742-2488

Fax

(918) 742-4875

NPI assigned

Jun 13, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• C. Rieger Wood, III, D.D.S., Inc.

  • General Practice Dentistry
  • Tulsa, OK
  • NPI 1821142852
  NPD (past)

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1609161157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351505",
            "telephone_number": "918-742-2488",
            "fax_number": "918-742-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351505",
            "telephone_number": "918-742-2488",
            "fax_number": "918-742-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILACHER",
        "first_name": "JASON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Louise Weers
• Jenna R Wegener
• Kevin Sue Weibel, D.O.
• Mary Colleen Weidman, DPT
• Jennifer L Weigel, APRN-CNS
• Elizabeth Aurelia Weilert, APRN FNP-C
• Alexandra Weindel
• Alexandrina Weingart
• Jay Justin Weinstein, M.D.
• Weir ASC LLC

• Dentist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.