EDWARD MARC WEIDEMAN DMD, MD
NPI 1982727657
Dentist - Oral and Maxillofacial Surgery in Centennial, CO

Active since April 09, 2007PECOS Enrolled
9094 E MINERAL AVE, SUITE 260, CENTENNIAL, CO 80112(303) 768-8570(303) 768-8572 Get Directions Write a Review

NPPES record last updated: March 11, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Edward Marc Weideman Dmd, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD MARC WEIDEMAN DMD, MD (NPI 1982727657) is an individual oral and maxillofacial surgery provider in Centennial, Colorado, licensed in Colorado (9626) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982727657
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameEDWARD MARC WEIDEMANCredential: DMD, MD
Location Address9094 E MINERAL AVE, SUITE 260Centennial, CO 80112
Mailing Address9094 E Mineral Ave, Suite 260Centennial, CO 80112 · (303) 768-8570 · Fax (303) 768-8572
Fax(303) 768-8572
Sole ProprietorNo
Enumeration DateApril 9, 2007
Last NPPES UpdateMarch 11, 2011
NPI 1982727657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CO · 9626
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

9094 E MINERAL AVE, Centennial, CO 80112

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edward Marc Weideman Dmd, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
9094 E MINERAL AVE, SUITE 120
CENTENNIAL, CO 80112
Pediatrics
9094 E MINERAL AVE, SUITE 120
CENTENNIAL, CO 80112
Dentist (Oral and Maxillofacial Surgery)
9094 E MINERAL AVE, SUITE 260
CENTENNIAL, CO 80112
Pediatrics (Adolescent Medicine)
9094 E MINERAL AVE
CENTENNIAL, CO 80112
Pediatrics (Adolescent Medicine)
9094 E MINERAL AVE
CENTENNIAL, CO 80112
Pediatrics (Adolescent Medicine)
9094 E MINERAL AVE
CENTENNIAL, CO 80112
Pediatrics (Adolescent Medicine)
9094 E MINERAL AVE
CENTENNIAL, CO 80112
Clinic/Center (Primary Care)
9094 E MINERAL AVE, SUITE 100
CENTENNIAL, CO 80112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982727657, enumerated as an "individual" on April 09, 2007.

The provider is located at 9094 E MINERAL AVE SUITE 260 CENTENNIAL, CO 80112 and the phone number is (303) 768-8570.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Alabama,. Please consult your insurance carrier or call the provider to verify.