Active NPI
Jeffrey Alan Weiss, DMD
- Dentist
- Cherokee, NC
National Provider Identifier
1700846482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9026
- Practice address
- 1 Hospital Road
Caller Box C-268
Cherokee, NC 28719 - Phone
- (828) 497-9163
- Fax
- (828) 497-1723
- NPI assigned
- Mar 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS024461L | PA | |
| Dentist | 122300000X | 9026 | NC | Primary |
Addresses
Primary practice location
1 Hospital Road
Caller Box C-268
Cherokee, NC 28719
Mailing address
1 Hospital Road
Caller Box C-268
Cherokee, NC 28719
Phone (828) 497-9163
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700846482 | Medicaid | NC | |
| 904UY | Other | NC | BCBS |
| 1700846482 | Other | NC | DELTA DENTAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151209002205 | TX | Order and Referring Only - Oral Surgery | 8022319490 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9026 | NC | MD | Dentist |
| DS024461L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470182400000",
"number": "1700846482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL ROAD",
"address_2": "CALLER BOX C-268",
"city": "CHEROKEE",
"state": "NC",
"postal_code": "28719",
"telephone_number": "828-497-9163",
"fax_number": "828-497-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL ROAD",
"address_2": "CALLER BOX C-268",
"city": "CHEROKEE",
"state": "NC",
"postal_code": "28719",
"telephone_number": "828-497-9163",
"fax_number": "828-497-1723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "JEFFREY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-25",
"last_updated": "2016-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS024461L",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700846482",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "904UY",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "1700846482",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cherokee, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.