Roger B Wei, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63196 Issued in CA

Practice address

2225 Plaza Pkwy Ste C12
Modesto, CA 95350-6218

Phone

(209) 491-3620

Fax

(209) 491-3625

NPI assigned

Nov 16, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

State licenses

Practice roles

Locations

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.

• Roger B. Wei, DDS, a Professional Corporation

  • Dentist
  • Modesto, CA
  • NPI 1033709464
  NPD Authorized official

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

{
    "created_epoch": "1384560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1730519489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 PLAZA PKWY STE C12",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506218",
            "telephone_number": "209-491-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PLAZA PKWY STE C12",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506218",
            "telephone_number": "209-491-3620",
            "fax_number": "209-491-3625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4821 Alexander Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871076820",
            "country_code": "US",
            "telephone_number": "626-823-4199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEI",
        "first_name": "ROGER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-16",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4017",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ty Matthew Webster
• Spencer David Weed, D.D.S.
• Sarah Ashley Weeks, PA-C
• Angie Wei
• John Wei
• Tzu Yi Wei
• Megan Weidman
• Monica Weikleenget
• Weimer Chiropractic Professional Corporation
• Timothy John Weimer, DC

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.