Jerome M. Wees, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5271 Issued in NE

Practice address

14625 California St
Omaha, NE 68154-1950

Phone

(402) 397-7777

Fax

(402) 390-9336

NPI assigned

Jul 13, 2005

Last updated

Feb 4, 2008By 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 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 31, 2019 through Jan 31, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1871591826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14625 CALIFORNIA ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541950",
            "telephone_number": "402-397-7777",
            "fax_number": "402-390-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14625 CALIFORNIA ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541950",
            "telephone_number": "402-397-7777",
            "fax_number": "402-390-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEES",
        "first_name": "JEROME",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NE",
            "license": "5271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922633",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47054251500",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NE",
            "identifier": "05855",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Weeks
• Lindsey Weeks
• Mark Todd Weeks, R.P.
• Wees & Low Orthodontics
• Ann Marie Wees
• Joseph W Wees, DO
• Julie Marie Wees, DDS
• Steven J Wees, M.D.
• Wendy Ann Wees
• Jessica Ann Wegener, RD

• Oral and Maxillofacial Surgery (Dentist) in Omaha, NE
• Providers in Omaha, NE by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.