Active NPI
Michelle Wesley, D.M.D
- General Practice Dentistry
- Somers, NY
National Provider Identifier
1154853679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 060969
- Practice address
- 4 Heritage Hills 202 Ctr
Somers, NY 10589-1600 - Phone
- (914) 277-4222
- NPI assigned
- Apr 3, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN03454 | RI | |
| General Practice Dentistry | 1223G0001X | 060969 | NY | Primary |
Addresses
Primary practice location
4 Heritage Hills 202 Ctr
Somers, NY 10589-1600
Mailing address
4 Heritage Hills 202 Ctr
Somers, NY 10589-1600
Phone (914) 277-4222
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 |
|---|---|---|---|
| DEN03454 | RI | MD | Dentist |
| 060969 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GRF Dental PLLC | Current | Accepting new patients | |
| Dutchman Dental LLC | General Practice | Past | Accepting new patients |
| Dutchmen Dental LLC | General Practice | Past | Accepting new patients |
Locations
4 Heritage Hills 202 Ctr
Somers, NY 10589
Phone (631) 848-8730
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Somers, NY
- NPI 1972310001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1154853679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 HERITAGE HILLS 202 CTR",
"city": "SOMERS",
"state": "NY",
"postal_code": "105891600",
"telephone_number": "914-277-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 HERITAGE HILLS 202 CTR",
"city": "SOMERS",
"state": "NY",
"postal_code": "105891600",
"telephone_number": "914-277-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESLEY",
"first_name": "MICHELLE",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-03",
"last_updated": "2022-06-01",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "DEN03454",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "060969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.