Individual provider Active NPI

Alexa Paige Weisgerber, DDS

  • Dentist
  • Chelsea, MI
National Provider Identifier
1982273389
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600964 Issued in MI
Practice address
20750 W Old US Highway 12
Chelsea, MI 48118-1378
Phone
(734) 475-8911
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901600964 MI Primary

Addresses

Primary practice location

20750 W Old US Highway 12
Chelsea, MI 48118-1378

Mailing address

306 S Main St Apt 3B
Ann Arbor, MI 48104-2111
Phone (616) 502-7186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901600964MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dental Groupservices, PLLC CurrentSince Jun 27, 2021 Accepting new patients

Locations

20750 W Old US Highway 12
Chelsea, MI 48118
Phone (734) 475-8911

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1982273389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S MAIN ST APT 3B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042111",
            "telephone_number": "616-502-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20750 W OLD US HIGHWAY 12",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181378",
            "telephone_number": "734-475-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISGERBER",
        "first_name": "ALEXA",
        "middle_name": "PAIGE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.