Individual provider Active NPI

Hazeem F Wehbe, DMD

  • General Practice Dentistry
  • West Roxbury, MT
National Provider Identifier
1154476083
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18237 Issued in MD
Practice address
172 Spring St
West Roxbury, MT 02132
Phone
(617) 323-5000
Fax
(617) 323-2350
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18237 MD Primary

Addresses

Primary practice location

172 Spring St
West Roxbury, MT 02132

Mailing address

172 Spring St
West Roxbury, MT 02132
Phone (617) 323-5000

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
18237MDMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hazem F Wehbe PC General Practice Past Accepting new patients
Doctors of West Roxbury LLC General Practice PastSince Aug 29, 2021 Accepting new patients

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154476083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 SPRING ST",
            "city": "WEST ROXBURY",
            "state": "MT",
            "postal_code": "02132",
            "telephone_number": "617-323-5000",
            "fax_number": "617-323-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 SPRING ST",
            "city": "WEST ROXBURY",
            "state": "MT",
            "postal_code": "02132",
            "telephone_number": "617-323-5000",
            "fax_number": "617-323-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHBE",
        "first_name": "HAZEEM",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "18237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.