Jack Weisbond, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-00129 Issued in KY

Practice address

3516 Frankfort Ave
Louisville, KY 40207-2561

Phone

(502) 430-3451

NPI assigned

Jul 8, 2021

Last updated

Mar 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

• Aurora Dental, PLC

  dba Aspen Dental

  • Dentist
  • Glendale, AZ
  • NPI 1952767352
  NPD (past)
• Justin C Ewell DMD PLC

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1447740584
  NPD (past)

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773532800000",
    "number": "1851962906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 FRANKFORT AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072561",
            "telephone_number": "502-430-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 FRANKFORT AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072561",
            "telephone_number": "502-430-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBOND",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "D-00129",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori E. Weis, ARNP
• Nathalie Weis, FNP
• Rachelle May Weis, PT
• Theresa Weis
• Jamie Leonora Weisbach, MS, ATC
• Casey Weisenseel
• Weiss Orthopedic and Injury Center, LLC
• Deborah A Weiss, LCSW
• Dianne Louise Weiss, LCSW
• Jeffrey A. Weiss, M.D.

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2026; 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.