Active NPI
Lou A. Weingardt, RDH
- Dental Hygienist
- Corrales, NM
National Provider Identifier
1730339789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH1235
- Practice address
- 161 Railcar Rd
Corrales, NM 87048-7909 - Phone
- (505) 553-6850
- NPI assigned
- Sep 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH1235 | NM | Primary |
Addresses
Primary practice location
161 Railcar Rd
Corrales, NM 87048-7909
Mailing address
161 Railcar Rd
Corrales, NM 87048-7909
Phone (505) 553-6850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46688765 | Medicaid | NM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DH1235 | NM | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nirvana LLC | Dental Hygienist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Hygienist
- Corrales, NM
- NPI 1710137773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1730339789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 RAILCAR RD",
"city": "CORRALES",
"state": "NM",
"postal_code": "870487909",
"telephone_number": "505-553-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 RAILCAR RD",
"city": "CORRALES",
"state": "NM",
"postal_code": "870487909",
"telephone_number": "505-553-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINGARDT",
"first_name": "LOU",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-26",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NM",
"license": "DH1235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46688765",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corrales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.