Individual provider Active NPI

Tiffany Axel-Weyandt, D.D.S.

  • General Practice Dentistry
  • Chanhassen, MN
National Provider Identifier
1891826020
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11335 Issued in MN
Practice address
7935 Stone Creek Dr
Suite 150
Chanhassen, MN 55317-4610
Phone
(952) 937-2839
Fax
(952) 401-3307
NPI assigned
Mar 8, 2007
Sex
Female
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 D11335 MN Primary

Addresses

Primary practice location

7935 Stone Creek Dr
Suite 150
Chanhassen, MN 55317-4610

Mailing address

7935 Stone Creek Drive
Suite 150
Chanhassen, MN 55317
Phone (952) 937-2839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D11335MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Creek Dental, P.a. Past Accepting new patients
Richard C Axel. DDS, PA General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891826020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7935 STONE CREEK DRIVE",
            "address_2": "SUITE 150",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "55317",
            "telephone_number": "952-937-2839",
            "fax_number": "952-401-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7935 STONE CREEK DR",
            "address_2": "SUITE 150",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174610",
            "telephone_number": "952-937-2839",
            "fax_number": "952-401-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXEL-WEYANDT",
        "first_name": "TIFFANY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

  • 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.