Individual provider Active NPI

Steven Edward Weinberg, D.D.S.

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1740203256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4768T Issued in NV
Practice address
4955 S Durango Dr
Suite 201
Las Vegas, NV 89113-0152
Phone
(702) 933-7275
Fax
(702) 933-0596
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4768T NV Primary
Dentist 122300000X 5765 FL

Addresses

Primary practice location

4955 S Durango Dr
Suite 201
Las Vegas, NV 89113-0152

Mailing address

8929 Adobe Grande St
Las Vegas, NV 89131-3901
Phone (702) 656-8265

Other identifiers 1

IdentifierTypeStateIssuer
00000027568OtherNVUNITED CONCORDIA

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

LicenseStateTypeSpecialty
4768TNVMDDentist
5765FLMDDental Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
P3 Dental - Welebir PC Past Accepting new patients
P3 Dental - Welebir PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740203256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8929 ADOBE GRANDE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891313901",
            "telephone_number": "702-656-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 S DURANGO DR",
            "address_2": "SUITE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130152",
            "telephone_number": "702-933-7275",
            "fax_number": "702-933-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "STEVEN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "4768T",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "5765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "00000027568",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.