Active NPI
Adam Weems D.M.D., P.a.
- General Practice Dentistry
- Greenwood, MS
National Provider Identifier
1962422402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3107-99
- Legal business name
- ADAM WEEMS D.M.D., P.A.
- Practice address
- 1705 Strong Ave
Suite a
Greenwood, MS 38930-3923 - Phone
- (662) 453-6243
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Adam Weems, D.M.D.
- Title
- Owner
- Phone
- (662) 453-6243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3107-99 | MS | Primary |
Addresses
Primary practice location
1705 Strong Ave
Suite a
Greenwood, MS 38930-3923
Mailing address
1705 Strong Ave
Suite a
Greenwood, MS 38930-3923
Phone (662) 453-6243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00660430 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
1705 Strong Ave
#A
Greenwood, MS 38930
Phone (662) 453-6243
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962422402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 STRONG AVE",
"address_2": "SUITE A",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389303923",
"telephone_number": "662-453-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 STRONG AVE",
"address_2": "SUITE A",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389303923",
"telephone_number": "662-453-6243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAM WEEMS D.M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WEEMS",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ADAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-453-6243",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "3107-99",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00660430",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, MS
Sources for this page
- 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.