Weichun Li, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1856709 Issued in MA

Practice address

85 River St # 65292
Waltham, MA 02453-8300

Phone

(781) 891-7737

NPI assigned

Jul 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Networks

• Freedom Health HMO Network

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1184030066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 SUMMER ST APT 11",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525626",
            "telephone_number": "617-800-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 RIVER ST # 65292",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024538300",
            "telephone_number": "781-891-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "WEICHUN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Levine, DO
• Rebecca E Levine
• Noah Levinson, LICSW
• Amy Marie Lewis
• Jared S Lewis, DPT
• Elsa L. Lichman, LICSW
• Life Centered Therapy LLC
• Life Skills and Family Initiative Inc
• Lifevault Bio, Inc.
• Rebecca Liggett

• General Practice Dentistry in Waltham, MA
• Providers in Waltham, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.