Madison Weigle, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS043169 Issued in PA

Practice address

800 Heritage Dr Ste 811
Pottstown, PA 19464-9220

Phone

(610) 327-1616

NPI assigned

Jun 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1902473606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HERITAGE DR STE 811",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194649220",
            "telephone_number": "610-327-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HERITAGE DR STE 811",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194649220",
            "telephone_number": "610-327-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGLE",
        "first_name": "MADISON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crytsal Carter Webster
• Rene Webster, B.A.
• Kendra K. Weible, MSS, LSW
• Jacob Weidler, MA
• David Christopher Weigle, DMD
• Julie Lynn Weinsteiger, MA
• Jennie Weiss, MSW
• Julie C Weiss, COTA
• Juli Ann Weitzen, DPM
• Lizanne Margaret Welding, MS

• General Practice Dentistry in Pottstown, PA
• Providers in Pottstown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.