Active NPI
Christian Joseph Wesolowski
- Dentist
- Waltham, MA
National Provider Identifier
1295428878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1859755
- Practice address
- 131 Main St
Waltham, MA 02453-6636 - Phone
- (781) 893-7500
- NPI assigned
- May 31, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN1859755 | MA | Primary |
Addresses
Primary practice location
131 Main St
Waltham, MA 02453-6636
Mailing address
274 E Main St Ste 2206
Norton, MA 02766-2476
Phone (774) 991-2856
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 |
|---|---|---|---|
| DN1859755 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1295428878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 E MAIN ST STE 2206",
"city": "NORTON",
"state": "MA",
"postal_code": "027662476",
"telephone_number": "774-991-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 MAIN ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024536636",
"telephone_number": "781-893-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESOLOWSKI",
"first_name": "CHRISTIAN",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.