Active NPI
Erwin Weichel, DMD MS
- Periodontics
- Milwaukie, OR
National Provider Identifier
1275528028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- D5369
- Practice address
- 2636 SE Harrison St
Milwaukie, OR 97222-7533 - Phone
- (503) 654-5405
- Fax
- (503) 654-5406
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | D5369 | OR | Primary |
Addresses
Primary practice location
2636 SE Harrison St
Milwaukie, OR 97222-7533
Mailing address
2959 SW Schaeffer Rd
West Linn, OR 97068-9661
Phone (503) 654-5405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151208003391 | OR | Order and Referring Only - Other (Physician) | 4587965991 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275528028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2959 SW SCHAEFFER RD",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970689661",
"telephone_number": "503-654-5405",
"fax_number": "503-654-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2636 SE HARRISON ST",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972227533",
"telephone_number": "503-654-5405",
"fax_number": "503-654-5406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEICHEL",
"first_name": "ERWIN",
"name_prefix": "Dr.",
"credential": "DMD MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OR",
"license": "D5369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.