Matt Weil, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

35024 Issued in TX

Practice address

7007 North Fwy Ste 400
Houston, TX 77076-1330

Phone

(713) 814-4717

NPI assigned

Feb 20, 2012

Last updated

Oct 9, 2020By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1710250873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 ELLA LEE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574401",
            "telephone_number": "732-778-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 NORTH FWY STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761330",
            "telephone_number": "713-814-4717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 High Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Ocean",
            "state": "NJ",
            "postal_code": "077123477",
            "country_code": "US",
            "telephone_number": "732-778-8990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIL",
        "first_name": "MATT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-20",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN22760",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "35024",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliott Russell Weidman, MD
• Kandi Weidner
• Robert Hennessy Weigman
• Mitchell P. Weikert, M.D.
• Christopher Weil, MD
• Roxanna Dawn Weil, DMD
• Stuart Mark Weil, M.D.
• Thomas Maurice Weil, DDS
• Erica Marie Weilein, MD
• Lindsey L Weiler, P.A.

• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.