NPIMap

Organization Active NPI

Harold D Weiss DDS PC

Doing business as Lawrence J Weiss, DDS

  • Dental Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1760467039
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
043555 Issued in NY
Legal business name
HAROLD D WEISS DDS PC
Doing business as
Lawrence J Weiss, DDS
Practice address
5520 Glenwood Rd
Brooklyn, NY 11234
Phone
(718) 763-0505
Fax
(718) 763-1776
NPI assigned
Dec 9, 2005
Last updated
Feb 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Dr. Lawrence J Weiss, DDSNPI 1093980906
Title
Owner
Phone
(718) 763-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 043555 NY Primary

Addresses

Primary practice location

5520 Glenwood Rd
Brooklyn, NY 11234

Mailing address

5520 Glenwood Rd
Brooklyn, NY 11234
Phone (718) 763-0505

Other identifiers 1

IdentifierTypeStateIssuer
01366169MedicaidNY

Other names 1

  • Lawrence J Weiss, DDS Doing business as

National Provider Directory

National Provider Directory

Locations

5520 Glenwood Rd
Brooklyn, NY 11234
Phone (718) 763-0505

9323 Avenue L
Brooklyn, NY 11236
Phone (718) 763-0505

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1760467039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-763-0505",
            "fax_number": "718-763-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-763-0505",
            "fax_number": "718-763-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD D WEISS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-763-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "043555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01366169",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence J Weiss, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.