Gary Weisbly, DMD, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AR2066 Issued in AR

Practice address

12921 Cantrell Rd.
Suite# 301
Little Rock, AR 72223-1701

Phone

(501) 224-5511

Fax

(501) 224-2405

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Centre @ 10 Dental Group

  • General Practice Dentistry
  • Little Rock, AR
  • NPI 1568895548
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942394440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12921 CANTRELL RD.",
            "address_2": "SUITE# 301",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231701",
            "telephone_number": "501-224-5511",
            "fax_number": "501-224-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12921 CANTRELL RD.",
            "address_2": "SUITE# 301",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231701",
            "telephone_number": "501-224-5511",
            "fax_number": "501-224-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBLY",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "DMD, PLLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "AR2066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Y Wei, MD
• Luke Neumann Weiler, M.D.
• Michael Frank Weiner, M.D.
• Robert S. Weinstein, MD
• Elizabeth Weir, PT, DPT
• Danielle Elise Weishaar
• Margaret Danielle Weiss, MD PHD
• Parker Weiss, DO
• Franklin William Welborn III, MD
• Gabrielle Welch

• General Practice Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• General Practice Dentistry in Arkansas

• 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.