Michael Weiss DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHAEL WEISS DDS PC

Practice address

14 South Cedar St
Hazleton, PA 18201-6602

Phone

(570) 455-6275

Fax

(570) 455-6276

NPI assigned

Aug 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael B Weiss, DDSNPI 1528175494

Title

President

Phone

(570) 455-6275

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael B Weiss, DDS

  • General Practice Dentistry
  • Hazleton, PA
  • NPI 1528175494
  Authorized official Same address or phone

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942317813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SOUTH CEDAR ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016602",
            "telephone_number": "570-455-6275",
            "fax_number": "570-455-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SOUTH CEDAR ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016602",
            "telephone_number": "570-455-6275",
            "fax_number": "570-455-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL WEISS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-455-6275",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "006799",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "971440",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "68403",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Meighan, PA
• Carlos R Mejia
• Lisa Meluskey
• Darren Mena, PA-C
• Michael a. Washinsky, DO
• Ryan Tyler Michael, PHARMD
• Aleshanee Michel
• Mid-State Occupational Health Services, Inc.
• Ann Marie Miller
• Minsec Companies, LLC

• General Practice Dentistry in Hazleton, PA
• Providers in Hazleton, 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 Aug 22, 2020; 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.