Individual provider Active NPI

Robert Gregg Weiner, D.D.S., PC

  • General Practice Dentistry
  • Somers, NY
National Provider Identifier
1891819207
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044623-1 Issued in NY
Practice address
338 Route 100
Bailey Court
Somers, NY 10589
Phone
(914) 277-1100
Fax
(914) 277-2873
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 044623-1 NY Primary

Addresses

Primary practice location

338 Route 100
Bailey Court
Somers, NY 10589

Mailing address

338 Route 100
Bailey Court
Somers, NY 10589
Phone (914) 277-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150623002298 NY Order and Referring Only - DentistPractitioner - Dentist 8224349881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044623-1NYMDGeneral Practice Dentistry
044623NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891819207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 ROUTE 100",
            "address_2": "BAILEY COURT",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "10589",
            "telephone_number": "914-277-1100",
            "fax_number": "914-277-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 ROUTE 100",
            "address_2": "BAILEY COURT",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "10589",
            "telephone_number": "914-277-1100",
            "fax_number": "914-277-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "ROBERT",
        "middle_name": "GREGG",
        "name_prefix": "Dr.",
        "credential": "D.D.S., PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044623-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers, NY

Sources for this page

Verify at the official NPI Registry.