Individual provider Active NPI

David Weidenthal, DDS

  • Dentist
  • Akron, OH
National Provider Identifier
1649260241
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30019303 Issued in OH
Practice address
300 Locust St
Suite 430
Akron, OH 44302-1821
Phone
(330) 535-7876
Fax
(330) 535-7878
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30019303 OH Primary

Addresses

Primary practice location

300 Locust St
Suite 430
Akron, OH 44302-1821

Mailing address

300 Locust St
Suite 430
Akron, OH 44302-1821
Phone (330) 535-7876

Other identifiers 1

IdentifierTypeStateIssuer
2118470MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20181219002095 OH Order and Referring Only - DentistPractitioner - Dentist 3274878269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30019303OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Locust Dental Group Jeffrey S Rosenthal DDS Inc Past Accepting new patients
Locust Dental Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649260241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LOCUST ST",
            "address_2": "SUITE 430",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021821",
            "telephone_number": "330-535-7876",
            "fax_number": "330-535-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LOCUST ST",
            "address_2": "SUITE 430",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021821",
            "telephone_number": "330-535-7876",
            "fax_number": "330-535-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDENTHAL",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30019303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2118470",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.