Active NPI
Joel A Weiler, DDS
- Dentist
- Pella, IA
National Provider Identifier
1982005351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 09126
- Practice address
- 2114 Washington St
Pella, IA 50219-7880 - Phone
- (641) 628-1604
- Fax
- (641) 628-2075
- NPI assigned
- Sep 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 09126 | IA | Primary |
Addresses
Primary practice location
2114 Washington St
Pella, IA 50219-7880
Mailing address
2114 Washington St
Pella, IA 50219-7880
Phone (641) 628-1604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150527001364 | IA | Order and Referring Only - Dentist | 9234459645 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09126 | IA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1982005351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 WASHINGTON ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502197880",
"telephone_number": "641-628-1604",
"fax_number": "641-628-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 WASHINGTON ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502197880",
"telephone_number": "641-628-1604",
"fax_number": "641-628-2075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEILER",
"first_name": "JOEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-04",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "09126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.