Individual provider Active NPI

Douglas Wegh

  • Social Worker
  • Mott, ND
National Provider Identifier
1134543556
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
235 Issued in ND
Practice address
309 Millionaire Ave
Mott, ND 58646-7267
Phone
(701) 824-3276
Fax
(701) 824-2820
NPI assigned
Feb 5, 2014
Last updated
Feb 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 235 ND Primary

Addresses

Primary practice location

309 Millionaire Ave
Mott, ND 58646-7267

Mailing address

309 Millionaire Ave
Mott, ND 58646-7267
Phone (701) 824-3276

Other identifiers 1

IdentifierTypeStateIssuer
000079077MedicaidND

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
235NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hettinger County Social Services Past Accepting new patients

Organizations & group practices 1

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": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1134543556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MILLIONAIRE AVE",
            "city": "MOTT",
            "state": "ND",
            "postal_code": "586467267",
            "telephone_number": "701-824-3276",
            "fax_number": "701-824-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MILLIONAIRE AVE",
            "city": "MOTT",
            "state": "ND",
            "postal_code": "586467267",
            "telephone_number": "701-824-3276",
            "fax_number": "701-824-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGH",
        "first_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000079077",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mott, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.