Jeffrey A Weiss, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN15340 Issued in FL

Practice address

15600 NW 67 Ave
#110
Miami Lakes, FL 33014

Phone

(305) 823-8831

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Main Street Orthodontics of Miami Lakes, P.a.

  • Pediatric Dentistry
  • Miami Lakes, FL
  • NPI 1154653913
  NPD (past)
• Main Street Orthodontics of Miami Lakes, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Miami Lakes, FL
  • NPI 1811009194
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790872042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15102 SW 38TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33331",
            "telephone_number": "954-236-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 NW 67 AVE",
            "address_2": "#110",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33014",
            "telephone_number": "305-823-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN15340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• We'LL Shine LLC
• Wecare Medical LLC
• Wellcare Med Group Corp
• Wellmax Health Medical Centers, LLC
• Wellness Home Health Care Agency, Inc
• Wellness Home Health Services LLC
• Wellness Spa and Medical Care Center Corp

• Orthodontics and Dentofacial Orthopedics Dentistry in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• 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.