JONATHAN WALTER WEIDEMANN (NPI# 1174726145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174726145 |
| Entity Type | Individual |
| Full Name | JONATHAN WALTER WEIDEMANN |
| Credential | DDS |
| Practice Address |
5963 East Spring Street Long Beach CA 90808 |
| Mailing Address |
830 Childs Way #703 Los Angeles CA 90815-0277 |
| Practice Telephone | 5624218401 |
| Practice Fax Number | 5624214069 |
| Mailing Telephone | 5624311183 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 45538 | CA | Dental Providers |
| Street Address |
5963 EAST SPRING STREET |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
| 1376072710 | Premiere Cottages Inc. | Assisted Living Facility | 4815 Premiere Ave, Long Beach, CA 90808 | 2017-06-08 |
| 1760911184 | Collaborative Partners for Success, LLC | Speech-Language Pathologist | 3472 Tulane Avenue, Long Beach, CA 90808 | 2017-06-08 |
| 1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
| 1447611298 | Rac Brittany House | Alzheimer Center (Dementia Center) | 5641 Centralia Avenue, Long Beach, CA 90808 | 2016-03-08 |
| 1003234261 | Ray Ira Apter | Social Worker | 4333 N. Greenbrier Road, Long Beach, CA 90808 | 2014-04-03 |
| 1043590649 | Fonda Jiang | Allergy & Immunology | 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 | 2011-08-26 |
| 1457640757 | Alexander Cristian Gavrila | Dentist | 4200 Lakewood Blvd, Long Beach, CA 90808 | 2011-04-07 |
| 1851629034 | Reyana Ewing | Dietitian, Registered | 4195 N Viking Way Ste D, Long Beach, CA 90808 | 2009-11-25 |
| 1548497597 | Veronika Lee Hoover | Social Worker | 4195 N. Viking Way, Suite F, Long Beach, CA 90808 | 2009-06-17 |
| Find all providers in zip 90808 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467069633 | Jonathan Beroukhim Dds Inc | Dentist | 6950 N Paramount Blvd, Long Beach, CA 90805-1863 | 2020-09-30 |
| 1093347437 | Leila Zamiri Dds Inc | Dentist | 3317 E 10th St, Long Beach, CA 90804-5050 | 2020-02-04 |
| 1356971063 | Michael Bui Dmd, Inc | Dentist | 3320 N Los Coyotes Diagonal Ste 250, Long Beach, CA 90808-3939 | 2020-01-22 |
| 1518508605 | Wu and Najafi Dental Corporation | Dentist | 7370 Carson Blvd, Long Beach, CA 90808-2360 | 2019-10-01 |
| 1487205878 | Steven Wu Dental Corporation | Dentist | 7603 Carson Blvd, Long Beach, CA 90808-2367 | 2019-09-26 |
| 1336792068 | Nam G Bui | Dentist | 4808 Bentree Ave, Long Beach, CA 90807-1007 | 2019-07-22 |
| 1568023265 | Alice Khieu Flores | Dentist | 1321 Lemon Ave, Long Beach, CA 90813-2100 | 2019-06-24 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1851875405 | Ronald C. Abaro Dds Inc | Dentist | 627 Magnolia Ave Ste 105, Long Beach, CA 90802-1289 | 2018-09-19 |
| 1548754260 | Peace Kim Dentistry, Inc. | Dentist | 3840 Woodruff Ave Ste 107, Long Beach, CA 90808-2148 | 2018-06-16 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90808 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.