Organization Active NPI

Adam Weems D.M.D., P.a.

  • General Practice Dentistry
  • Greenwood, MS
National Provider Identifier
1962422402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3107-99 Issued in MS
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00660430MedicaidMS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.