Individual provider Active NPI

Karen Edith Weitzel, D.D.S.

  • General Practice Dentistry
  • Redwood City, CA
National Provider Identifier
1689772980
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28927 Issued in CA
Practice address
1733 Woodside Rd
Suite 110
Redwood City, CA 94061-3499
Phone
(650) 716-1500
Fax
(650) 716-2502
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 28927 CA Primary

Addresses

Primary practice location

1733 Woodside Rd
Suite 110
Redwood City, CA 94061-3499

Mailing address

1733 Woodside Rd
Suite 110
Redwood City, CA 94061-3499
Phone (650) 716-1500

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
28927CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689772980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 WOODSIDE RD",
            "address_2": "SUITE 110",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613499",
            "telephone_number": "650-716-1500",
            "fax_number": "650-716-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 WOODSIDE RD",
            "address_2": "SUITE 110",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613499",
            "telephone_number": "650-716-1500",
            "fax_number": "650-716-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZEL",
        "first_name": "KAREN",
        "middle_name": "EDITH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.