Active NPI
Wendy J Weimer, DDS
- General Practice Dentistry
- North Kansas City, MO
National Provider Identifier
1922059088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- MO2001014579
- Practice address
- 2700 Clay Edwards Dr
Suite 345
North Kansas City, MO 64116-3251 - Phone
- (816) 877-0200
- Fax
- (816) 877-0235
- NPI assigned
- May 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | MO2001014579 | MO | Primary |
Addresses
Primary practice location
2700 Clay Edwards Dr
Suite 345
North Kansas City, MO 64116-3251
Mailing address
9302 NW Pleasant Dr
Kansas City, MO 64152-2624
Phone (816) 812-6770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 13, 2014 through Oct 13, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MO2001014579 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wendy J Weimer D.D.S., | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- North Kansas City, MO
- NPI 1548431943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1922059088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9302 NW PLEASANT DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641522624",
"telephone_number": "816-812-6770",
"fax_number": "168-126-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 CLAY EDWARDS DR",
"address_2": "SUITE 345",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163251",
"telephone_number": "816-877-0200",
"fax_number": "816-877-0235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIMER",
"first_name": "WENDY",
"middle_name": "J",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-13",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "MO2001014579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.