Active NPI
Phillip C Weisenberger, DMD
- Dentist
- Bluffton, OH
National Provider Identifier
1992811608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14032
- Practice address
- 122 Thurman St
Bluffton, OH 45817 - Phone
- (419) 358-8677
- Fax
- (419) 358-8670
- NPI assigned
- Aug 23, 2006
- 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 | 14032 | OH | Primary |
Addresses
Primary practice location
122 Thurman St
Bluffton, OH 45817
Mailing address
PO Box 103
122 Thurman St
Bluffton, OH 45817
Phone (419) 358-8677
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14032 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992811608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 103",
"address_2": "122 THURMAN ST",
"city": "BLUFFTON",
"state": "OH",
"postal_code": "45817",
"telephone_number": "419-358-8677",
"fax_number": "419-358-8670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 THURMAN ST",
"city": "BLUFFTON",
"state": "OH",
"postal_code": "45817",
"telephone_number": "419-358-8677",
"fax_number": "419-358-8670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISENBERGER",
"first_name": "PHILLIP",
"middle_name": "C",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "14032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.