Active NPI
Joshua Paul Weintraub, DDS
- Dentist
- Baltimore, MD
National Provider Identifier
1992827711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12513
- Practice address
- 7211 Park Heights Ave
S 4
Baltimore, MD 21208 - Phone
- (410) 764-8500
- Fax
- (410) 764-8504
- NPI assigned
- Apr 4, 2007
- 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 | 12513 | MD | Primary |
Addresses
Primary practice location
7211 Park Heights Ave
S 4
Baltimore, MD 21208
Mailing address
7211 Park Heights Ave
Suite 4
Baltimore, MD 21208
Phone (410) 764-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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 |
|---|---|---|---|---|
| I20151022001984 | MD | Order and Referring Only - Dentist | 6901115443 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12513 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207180800000",
"number": "1992827711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7211 PARK HEIGHTS AVE",
"address_2": "SUITE 4",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21208",
"telephone_number": "410-764-8500",
"fax_number": "410-764-8504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7211 PARK HEIGHTS AVE",
"address_2": "S 4",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21208",
"telephone_number": "410-764-8500",
"fax_number": "410-764-8504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINTRAUB",
"first_name": "JOSHUA",
"middle_name": "PAUL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2008-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "12513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.