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
- Last updated
- 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 |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington St. Dental | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
- Wallips Dialysis, LLC (Pella Dialysis)
- Walmart Inc. (Walmart Pharmacy 10-0751)
- Michael Gary Walsh, M.D.
- Washington St. Dental (Recker Dental Care)
- Madeline Webb, DC
- John David Welander, M.D.
- Amy Sue Weppler, PHYSICAL THERAPIST
- Whole Family Wellness, LLC
- Amber Williams, OTD, OTR/L
- Sarah Beth Willoughby, PHARM.D.
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.