Duane Robert Weenig, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

8240 Issued in CO

Practice address

790 Wellington Ave
Suite 205
Grand Junction, CO 81501-6126

Phone

(970) 243-9640

Fax

(970) 242-2655

NPI assigned

Mar 15, 2007

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

Enrolled in CO

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1710011531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 WELLINGTON AVE",
            "address_2": "SUITE 205",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016126",
            "telephone_number": "970-243-9640",
            "fax_number": "970-242-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 WELLINGTON AVE",
            "address_2": "SUITE 205",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016126",
            "telephone_number": "970-243-9640",
            "fax_number": "970-242-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEENIG",
        "first_name": "DUANE",
        "middle_name": "ROBERT",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "8240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leroy Arthur Weber, MD
• Patricia B Weber, MD
• Taylor Brianne Webster
• Michelle Leigh Weckenbrock, PMHNP-BC, FNP-BC
• Madison Lynne Weckerly
• Abigail Smith Wehner
• Cynthia Weiland, PHYSICAL THERAPIST
• Grace Weiland
• Spencer Weiler, PA-C
• Jeffrery H Weinberg, RPH

• Periodontics in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Periodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.