Active NPI
Howard Allen Weinstock, D.D.S.
- General Practice Dentistry
- Wynnewood, PA
National Provider Identifier
1780655563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS-024752-L
- Practice address
- 1420 Manoa Rd
Wynnewood, PA 19096-3208 - Phone
- (610) 642-1388
- Fax
- (610) 941-3564
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS-024752-L | PA | Primary |
Addresses
Primary practice location
1420 Manoa Rd
Wynnewood, PA 19096-3208
Mailing address
1420 Manoa Rd
Wynnewood, PA 19096-3208
Phone (610) 642-1388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 18, 2015 through May 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS-024752-L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780655563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 MANOA RD",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963208",
"telephone_number": "610-642-1388",
"fax_number": "610-941-3564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 MANOA RD",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963208",
"telephone_number": "610-642-1388",
"fax_number": "610-941-3564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINSTOCK",
"first_name": "HOWARD",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS-024752-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wynnewood, PA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.