Sue Ellen Weishaar, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00006536 Issued in WA

Practice address

1005 N Evergreen Rd
Suite 101
Spokane Valley, WA 99216-1485

Phone

(509) 922-3333

Fax

(509) 922-6533

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Weishaar & Weber, PLLC

  dba Weber Dental Center

  • Customized Equipment (DME)
  • Spokane Valley, WA
  • NPI 1528417250
  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1740364561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16212 E INDIANA AVE",
            "address_2": "SUITE A",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99216",
            "telephone_number": "509-922-3333",
            "fax_number": "509-922-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N EVERGREEN RD",
            "address_2": "SUITE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161485",
            "telephone_number": "509-922-3333",
            "fax_number": "509-922-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISHAAR",
        "first_name": "SUE",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "374886",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ron W. Weiand, D.D.S.
• Kathleen Alyce Weigel, MSW
• Tamara K Weil, OT
• Natalie Kristine Weir, DPT
• Weishaar & Weber, PLLC (Weber Dental Center)
• Rebecca Ann Weiss
• Shannon Weiss
• Diana P Welch, LMT
• Michelle Marie Welch, CDP
• Danielle Welker

• Dentist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.