Individual provider Active NPI

Michelle Sabater-Weddle, DDS

  • Dentist
  • Watchung, NJ
National Provider Identifier
1063581700
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02195102 Issued in NJ
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
102195100NJMDDentist
22D102195100NJMDDentist
22DI02195102NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.