DR. JACK PHILLIP WEISS (NPI# 1699932285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699932285 |
| Entity Type | Individual |
| Full Name | DR. JACK PHILLIP WEISS |
| Credential | DMD |
| Practice Address |
4704 Cahaba River Rd Suite 2d Birmingham AL 35243-2344 |
| Practice Telephone | 2052629855 |
| Practice Fax Number | 2052712128 |
| Mailing Telephone | 2052629855 |
| Mailing Fax Number | 2052712128 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3809 | AL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174534754 | Jack Gilbert Weiss | Nurse Anesthetist, Certified Registered | 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001-1479 | 2006-08-10 |
| Street Address |
4704 CAHABA RIVER RD SUITE 2D |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35243-2344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023009479 | James H Frey | Internal Medicine | 4704 Cahaba River Rd, Suite A1, Birmingham, AL 35243-2344 | 2005-11-03 |
| 1891200093 | Lacey Lauren Hill | Physical Therapist | 4704 Cahaba River Rd, Birmingham, AL 35243 | 2017-12-11 |
| 1679927883 | Joshua Nolen Smith | Physical Therapist | 4704 Cahaba River Rd, Ste J2, Birmingham, AL 35243-2344 | 2016-04-14 |
| 1679817415 | Kimberly Pope Monk | Physical Therapist | 4704 Cahaba River Rd, Ste J2, Birmingham, AL 35243-2344 | 2012-11-17 |
| 1609123538 | Amanda Ballard Gray | Physical Therapy Assistant | 4704 Cahaba River Rd, Ste J2, Birmingham, AL 35243-2344 | 2012-08-09 |
| 1265707889 | Mary A Cronin | Nurse Practitioner | 4704 Cahaba River Rd, Ste 101-d, Birmingham, AL 35243-2344 | 2012-03-14 |
| 1043596117 | Timothy H Real Md LLC | Clinic/Center | 4704 Cahaba River Rd, Suite 1a, Birmingham, AL 35243-2344 | 2011-11-02 |
| 1376709055 | Anurag Gandhi | Internal Medicine | 4704 Cahaba River Rd, Suite 101d, Birmingham, AL 35243-2344 | 2008-08-01 |
| 1659474435 | William I. Lapidus | Internal Medicine | 4704 Cahaba River Rd, Suite 101d, Birmingham, AL 35243-2344 | 2006-09-06 |
| 1558470500 | Timothy H Real | Internal Medicine | 4704 Cahaba River Rd, Suite 1a, Birmingham, AL 35243-2344 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1548747942 | Kaitlyn Bennett | Occupational Therapist | 3140 Cahaba Heights Road, Suite 102, Vestavia, AL 35243 | 2018-07-27 |
| 1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
| 1184169559 | Olivia Diann Gaston | Behavioral Analyst | 3296 Cahaba Heights Rd., Milestones Behavior Group., Vestavia, AL 35243 | 2016-12-21 |
| 1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
| 1306203682 | Abbey Elizabeth Duke | Physician Assistant | 3690 Grandview Parkway, Birmingham, AL 35243 | 2016-01-18 |
| 1689078628 | Mary Camp | Occupational Therapist | 3140 Cahaba Heights Road Suite 102, Vestavia Hills, AL 35243 | 2014-10-20 |
| 1255757209 | Laura Romundstad | Nurse Practitioner | 3670 Grandview Parkway, Suite 100, Birmingham, AL 35243 | 2014-03-14 |
| 1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
| Find all providers in zip 35243 | ||||
| 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 |
|---|---|---|---|---|
| 1841845161 | Jeremiah Daniel Patrick | Dentist | 1919 7th Ave S Rm 538, Birmingham, AL 35233-2005 | 2019-08-04 |
| 1811452253 | Alabama Dental Associates | Dentist | 3920 Grants Mill Road, Birmingham, AL 35210-1204 | 2019-02-08 |
| 1922584663 | Pritpal Johal | Dentist | 1919 7th Ave S # Sbd537, Birmingham, AL 35233-2005 | 2018-07-16 |
| 1992200448 | Ford's Family Dentistry | Dentist | 6 61st Street North, Birmingham, AL 35212 | 2018-03-27 |
| 1154835775 | Robert B. Connor Dmd, PC | Dentist | 1771 Independence Ct., Suite 1, Birmingham, AL 35216 | 2017-11-17 |
| 1215450952 | Benjamin Samuelson | Dentist | 3319 Cliff Rd S Apt A, Birmingham, AL 35205-1502 | 2017-07-25 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1558710350 | Alabama Health | Dentist | 2100 1st Ave N Ste 300, Birmingham, AL 35203-4226 | 2016-06-13 |
| 1912365107 | James H. Gillespie, Jr., Dmd | Dentist | 2660 10th Ave S Ste 632, Birmingham, AL 35205-1627 | 2016-02-03 |
| 1437516655 | Kevin J Alexander Dmd PC | Dentist | 48 Church Street, Birmingham, AL 35213-3702 | 2016-01-19 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35243 |
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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.