DR. JOHN PURDUE WEIDA (NPI# 1952536518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952536518 |
| Entity Type | Individual |
| Full Name | DR. JOHN PURDUE WEIDA |
| Credential | D.D.S. |
| Practice Address |
105 S Raceway Rd Suite 140 Indianapolis IN 46231-1414 |
| Mailing Address |
2250 N Pennsylvania St #7 Indianapolis IN 46205-4383 |
| Practice Telephone | 7654798555 |
| Mailing Telephone | 7654798555 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12011295A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205952538 | John C Weida | Specialist/Technologist | 32 Campus Dr, Rhinehart Atc, Missoula, MT 59812-0003 | 2007-03-21 |
| Street Address |
105 S RACEWAY RD SUITE 140 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46231-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144712035 | Nathaniel Clark | Optometrist | 105 S Raceway Rd, Indianapolis, IN 46231-1414 | 2018-06-05 |
| 1982126033 | Andrea Risley | Optometrist | 105 S Raceway Rd, Indianapolis, IN 46231-1414 | 2017-07-11 |
| 1629437397 | Center for Vein Restoration In, LLC | Surgery | 105 S Raceway Rd, Suite 135, Indianapolis, IN 46231-1414 | 2016-02-23 |
| 1659668978 | Elizabeth Marie Leburg | Optometrist | 105 S Raceway Rd, Ste 100, Indianapolis, IN 46231-1414 | 2011-07-07 |
| 1356646574 | Decatur Vein Clinic, PC | Phlebology | 105 S Raceway Rd, Suite 135, Indianapolis, IN 46231-1414 | 2011-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594316 | Myeyedr Optometry of Indiana, LLC | Optometrist | 105 S Raceway Rd Ste 100, Indianapolis, IN 46231 | 2018-07-09 |
| 1740484831 | Willie Flowers | Counselor | 1933 Southwood Drive, Indianapolis, IN 46231 | 2007-06-12 |
| 1407068083 | Lula Coates | Social Worker | 10903 Miller Drive, Indianapolis, IN 46231 | 2007-05-04 |
| 1528197076 | Sitaram Investments, LLC | Dentist | 105 South Raceway Road, Suite 140, Indianapolis, IN 46231 | 2007-03-02 |
| 1932264744 | Julia Nolte | Optometrist | 77 S. Girl School Rd., 103, Indianapolis, IN 46231 | 2006-12-22 |
| 1790926764 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 8201 W Washington St, Indianapolis, IN 46231 | 2009-03-20 |
| 1093360984 | Glasswater Creek of Plainfield, LLC | Assisted Living Facility | 10480 Glasswater Rd, Indianapolis, IN 46231-0001 | 2019-08-07 |
| 1952812307 | Avon Trust Care, Inc. | Non-emergency Medical Transport (VAN) | 10608 Cyrus Dr, Indianapolis, IN 46231-1023 | 2017-10-12 |
| 1366965014 | Nwamaka Theresa Onochie | Counselor | 10634 Cyrus Dr, Indianapolis, IN 46231-1023 | 2017-07-24 |
| 1679183685 | S&n Home Care, LLC | Home Health | 10634 Cyrus Dr, Indianapolis, IN 46231-1023 | 2020-08-04 |
| Find all providers in zip 46231 | ||||
| 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 |
|---|---|---|---|---|
| 1770193591 | Urgent Dental Center Sw LLC | Dentist | 2907 Kentucky Ave Ste A, Indianapolis, IN 46221-2103 | 2020-08-06 |
| 1861027732 | Kendall Thomas Sands | Dentist | 508 Indiana Ave # 3106, Indianapolis, IN 46202-3106 | 2020-03-11 |
| 1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
| 1902452055 | Summerlin Dental LLC | Dentist | 3351 N Meridian St Ste 105, Indianapolis, IN 46208-4674 | 2019-08-14 |
| 1255986808 | Ashton Monique Green | Dentist | 9940 Pendleton Pike Ste B, Indianapolis, IN 46236-2823 | 2019-08-09 |
| 1497317309 | Alyssa Marie Hoover | Dentist | 5406 S Emerson Ave, Indianapolis, IN 46237-1970 | 2019-07-01 |
| 1487215455 | Affordable Dentures & Implants - East Indianapolis, P.C. | Dentist | 9749 E Washington St Ste A2, Indianapolis, IN 46229-3035 | 2019-06-21 |
| 1023676178 | Urgent Dental Center South LLC | Dentist | 8925 Madison Ave Ste C, Indianapolis, IN 46227-6257 | 2019-06-04 |
| 1629539697 | Kyle A Harrison | Dentist | 6820 Parkdale Pl Ste 117, Indianapolis, IN 46254-4699 | 2019-03-30 |
| 1659832012 | Renew Dental Arts, LLC | Dentist | 2205 N Delaware St Ste 103, Indianapolis, IN 46205-4363 | 2019-03-28 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46231 |
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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.