Active NPI
Pamela Lynn Weitzel, DMD
- General Practice Dentistry
- Contoocook, NH
National Provider Identifier
1265445688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2058
- Practice address
- 656 Main St
Contoocook, NH 03229 - Phone
- (603) 746-4674
- Fax
- (603) 746-4099
- NPI assigned
- Aug 15, 2006
- Last updated
- Jul 5, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2058 | NH | Primary |
Addresses
Primary practice location
656 Main St
Contoocook, NH 03229
Mailing address
656 Main St
Contoocook, NH 03229
Phone (603) 746-4674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30002797 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130812000169 | NH | Order and Referring Only - General Practice | 4082856687 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2058 | NH | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372982400000",
"number": "1265445688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "656 MAIN ST",
"city": "CONTOOCOOK",
"state": "NH",
"postal_code": "03229",
"telephone_number": "603-746-4674",
"fax_number": "603-746-4674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "656 MAIN ST",
"city": "CONTOOCOOK",
"state": "NH",
"postal_code": "03229",
"telephone_number": "603-746-4674",
"fax_number": "603-746-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITZEL",
"first_name": "PAMELA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2013-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NH",
"license": "2058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30002797",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Contoocook, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.