David L. Weiss DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

5571 Issued in OR

Legal business name

DAVID L. WEISS DDS PC

Practice address

175 W B St Ste G
Springfield, OR 97477-4575

Phone

(541) 747-0101

Fax

(541) 747-6494

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Jill E Mancuso

Title

Office Manager

Phone

(541) 747-0101

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1992052443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W B ST STE G",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774575",
            "telephone_number": "541-747-0101",
            "fax_number": "541-747-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W B ST STE G",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774575",
            "telephone_number": "541-747-0101",
            "fax_number": "541-747-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. WEISS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-747-0101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "5571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Springfield, OR
• Providers in Springfield, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.