Curtis Dean Weyrauch, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9015 Issued in MN

Practice address

1099 East Moore Lake Drive
Fridley, MN 55432

Phone

(763) 586-9988

Fax

(763) 586-9977

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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 and National Provider Directory roles.

• Bauman Ventures LLC

  dba Dentistry for the Entire Family

  • Dental Clinic/Center
  • Fridley, MN
  • NPI 1710716147
  NPD (past)
• Dr John W Cretzmeyer Jr DDS PA

  dba Dentistry for the Entire Family

  • Dentist
  • Fridley, MN
  • NPI 1730346636
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1639238892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 MOORE LAKE E DR",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325153",
            "telephone_number": "763-586-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 EAST MOORE LAKE DRIVE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "55432",
            "telephone_number": "763-586-9988",
            "fax_number": "763-586-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYRAUCH",
        "first_name": "CURTIS",
        "middle_name": "DEAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellspring Chiropractic Center Inc.
• Keith Thomas Wenda, MD
• Nicole Werts, DPT
• Paul A Westby, DC
• Erik Michael Wetter, M.D.
• Nicole White, MA, LPCC
• Tera White
• Jeff A Wiens Heinsohn
• Donald Eugene Wiger II, MD
• Wild & Free Counseling

• General Practice Dentistry in Fridley, MN
• Providers in Fridley, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.