Individual provider Active NPI

Clifford Allen Weingart, DDS

  • General Practice Dentistry
  • Madison, WI
National Provider Identifier
1619159605
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001860-015 Issued in WI
Practice address
3230 University Ave
Suite 11
Madison, WI 53705-3540
Phone
(608) 231-1718
NPI assigned
Nov 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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 5001860-015 WI Primary

Addresses

Primary practice location

3230 University Ave
Suite 11
Madison, WI 53705-3540

Mailing address

3230 University Ave
Suite 11
Madison, WI 53705-3540
Phone (608) 231-1718

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
5001860-015WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1619159605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 UNIVERSITY AVE",
            "address_2": "SUITE 11",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053540",
            "telephone_number": "608-231-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 UNIVERSITY AVE",
            "address_2": "SUITE 11",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053540",
            "telephone_number": "608-231-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINGART",
        "first_name": "CLIFFORD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001860-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.