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

Active since April 09, 2007Opted out of Medicare · through May 7, 2028
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: August 09, 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 has opted out of Medicare through May 7, 2028 and remains eligible to order and refer.

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

Opted out of Medicare

Edward Marc Weideman Dmd, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 7, 2020 through May 7, 2028.

Opt-Out Effective DateMay 7, 2020
Opt-Out In Effect ThroughMay 7, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Pediatrics (Adolescent Medicine)
9094 E MINERAL AVE
CENTENNIAL, CO 80112
Pediatrics
9094 E MINERAL AVE, SUITE 120
CENTENNIAL, CO 80112
Physician Assistant
9094 E MINERAL AVE, SUITE 100
CENTENNIAL, CO 80112
Pediatrics (Adolescent Medicine)
9094 E MINERAL AVE
CENTENNIAL, CO 80112
Pediatrics
9094 E MINERAL AVE, SUITE 120
CENTENNIAL, CO 80112
Pediatrics (Adolescent Medicine)
9094 E MINERAL AVE
CENTENNIAL, CO 80112
Dentist (Oral and Maxillofacial Surgery)
9094 E MINERAL AVE, SUITE 260
CENTENNIAL, CO 80112
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
9094 E MINERAL AVE, STE 200
CENTENNIAL, CO 80112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Weideman's NPI number?

The NPI number for Edward Weideman is 1982727657. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Edward Weideman located?

Edward Weideman practices at 9094 E Mineral Ave Suite 260, Centennial, CO 80112. The listed phone number is (303) 768-8570.

What is Edward Weideman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Edward Weideman enrolled in Medicare?

No. Edward Weideman has opted out of Medicare through May 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Edward Weideman accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Edward Weideman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward Weideman was last updated on March 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.