Joshua Ammon Weenig, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1001796-15 Issued in WI

Practice address

1210 Pecor St
Oconto, WI 54153

Phone

(920) 834-5737

NPI assigned

Sep 4, 2013

Last updated

Jul 24, 2018By the provider in NPPES

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 WI

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

State licenses

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.

• Meier Dental Center, Inc.

  • General Practice Dentistry
  • Oconto, WI
  • NPI 1801999784
  NPD (past)
• Oconto Dental LLC

  • General Practice Dentistry
  • Oconto, WI
  • NPI 1285122895
  NPD (past)

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1669807020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 PECOR ST",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "541531768",
            "telephone_number": "920-834-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 PECOR ST",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "54153",
            "telephone_number": "920-834-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEENIG",
        "first_name": "JOSHUA",
        "middle_name": "AMMON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001796-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral A Thomson, DPT
• Amber M Trepanier, RDH
• Tim Van Der Perren
• Rebecca M. Vissers, APNP
• Shannon Weed
• Amanda K Westmoreland, PA
• Kyle Whiteside, DMD
• Julie A Whitworth, MS
• Wisconsin Sports Medicine and Orthopedics,S.C.
• Heide M Wold, RDH

• Dentist in Oconto, WI
• Providers in Oconto, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.