Individual provider Active NPI

Jason Andrew Weiland, D.P.M.

  • Podiatrist
  • Dell Rapids, SD
National Provider Identifier
1942207253
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
179 Issued in SD
Practice address
24237 474TH Ave
Dell Rapids, SD 57022-6120
Phone
(605) 212-5941
Fax
(605) 428-3315
NPI assigned
Jun 30, 2005
Last updated
May 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 179 SD Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 179 SD

Addresses

Primary practice location

24237 474TH Ave
Dell Rapids, SD 57022-6120

Mailing address

24237 474TH Ave
Dell Rapids, SD 57022-6120
Phone (605) 212-5941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050202000501 SD Practitioner - Podiatry 0143271684 Practice locations: Dell Rapids, SD
I20090428000358 MN Practitioner - Podiatry 0143271684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LTC Professionals PLLCGroup PAC ID 7911181029, 6 clinicians

Practice addresses (Care Compare)

7801 E Bush Lake Rd
Suite 400
Minneapolis, MN 55439-3113
Phone (952) 283-3161

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1984
Removal or shaving of skin growth329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
179SDMDFoot & Ankle Surgery Podiatrist
000824IAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
LTC Professionals, PLLC Podiatrist CurrentSince Nov 15, 2021 Accepting new patients
Podiatry Company LLC Podiatrist CurrentSince Sep 1, 2024 Accepting new patients
Phase Two Podiatry PC Podiatrist CurrentSince Mar 1, 2020 Accepting new patients
Maplewood Podiatry, LLC Podiatrist Past Accepting new patients
Aggeus Healthcare, P.C. Podiatrist Past Accepting new patients
Asg Onsite Podiatry of Ia 1 PC Podiatrist Past Accepting new patients

Locations

7801 E Bush Lake Rd
Ste 400
Minneapolis, MN 55439
Phone (952) 283-3162

3131 France Ave N
Robbinsdale, MN 55422
Phone (763) 588-0771

3245 Vera Cruz Ave N
Robbinsdale, MN 55422
Phone (516) 729-0070

2000 Oakdale Ave
West St Paul, MN 55118
Phone (651) 451-1821

301 Mill Rd
Ste U7
Hewlett, NY 11557

Organizations & group practices 7

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1942207253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24237 474TH AVE",
            "city": "DELL RAPIDS",
            "state": "SD",
            "postal_code": "570226120",
            "telephone_number": "605-212-5941",
            "fax_number": "605-205-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24237 474TH AVE",
            "city": "DELL RAPIDS",
            "state": "SD",
            "postal_code": "570226120",
            "telephone_number": "605-212-5941",
            "fax_number": "605-428-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILAND",
        "first_name": "JASON",
        "middle_name": "ANDREW",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SD",
            "license": "179",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SD",
            "license": "179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dell Rapids, SD

Sources for this page

Verify at the official NPI Registry.