Organization Active NPI

Weinacker Endo, LLC

  • Endodontics
  • Mobile, AL
National Provider Identifier
1811760374
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
WEINACKER ENDO, LLC
Doing business as
Dr. Gerard Weinacker, D.M.D.
Practice address
6328 Piccadilly Square Dr
Mobile, AL 36609-5143
Phone
(251) 343-0508
Fax
(251) 343-0154
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Dr. Gerard Gray Weinacker, DMDNPI 1578638870
Title
Owner/Endodontist
Phone
(251) 343-0508

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

6328 Piccadilly Square Dr
Mobile, AL 36609-5143

Mailing address

6328 Piccadilly Square Dr
Mobile, AL 36609-5143
Phone (251) 343-0508

Other names 1

  • Dr. Gerard Weinacker, D.M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

6328 Piccadilly Square Dr
Mobile, AL 36609
Phone (251) 343-0508

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1811760374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6328 PICCADILLY SQUARE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095143",
            "telephone_number": "251-343-0508",
            "fax_number": "251-343-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6328 PICCADILLY SQUARE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095143",
            "telephone_number": "251-343-0508",
            "fax_number": "251-343-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEINACKER ENDO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "WEINACKER",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "OWNER/ENDODONTIST",
        "authorized_official_telephone_number": "251-343-0508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Gerard Weinacker, D.M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.