Active NPI
Michelle Sabater-Weddle, DDS
- Dentist
- Watchung, NJ
National Provider Identifier
1063581700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02195102
- Practice address
- 10 Shawnee Dr
Suite A5
Watchung, NJ 07069-5803 - Phone
- (908) 561-0225
- Fax
- (908) 561-0343
- NPI assigned
- Nov 7, 2006
- Last updated
- Sep 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22D102195100 | NJ | |
| Dentist | 122300000X | 102195100 | NJ | |
| Dentist | 122300000X | 22DI02195102 | NJ | Primary |
Addresses
Primary practice location
10 Shawnee Dr
Suite A5
Watchung, NJ 07069-5803
Mailing address
10 Shawnee Dr
Suite A5
Watchung, NJ 07069-5803
Phone (908) 561-0225
Other names 1
- Mrs. Michelle Weddle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102195100 | NJ | MD | Dentist |
| 22D102195100 | NJ | MD | Dentist |
| 22DI02195102 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Smiles of New Jersey LLC | Current | Accepting new patients | |
| Elizabeth Center for Sleep and TMJ Wellness | Dentist | Current | Accepting new patients |
Locations
10 Shawnee Dr
Ste A5
Watchung, NJ 07069
Phone (908) 561-0225
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Watchung, NJ
- NPI 1477622140
-
- Dentist
- Elizabeth, NJ
- NPI 1720790207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1063581700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SHAWNEE DR",
"address_2": "SUITE A5",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "070695803",
"telephone_number": "908-561-0225",
"fax_number": "908-561-0343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SHAWNEE DR",
"address_2": "SUITE A5",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "070695803",
"telephone_number": "908-561-0225",
"fax_number": "908-561-0343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABATER-WEDDLE",
"first_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22D102195100",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "102195100",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02195102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "WEDDLE",
"prefix": "MRS.",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Watchung, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.