Individual provider Active NPI

Joseph F Wegiel, DDS

  • General Practice Dentistry
  • Ludlow, MA
National Provider Identifier
1295759876
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11583 Issued in MA
Practice address
257 Kendall St
Ludlow, MA 01056
Phone
(413) 583-6574
Fax
(413) 596-9850
NPI assigned
Jul 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11583 MA Primary

Addresses

Primary practice location

257 Kendall St
Ludlow, MA 01056

Mailing address

257 Kendall St
Ludlow, MA 01056
Phone (413) 583-6574

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160323001496 MA Order and Referring Only - DentistPractitioner - Dentist 4981901667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11583MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ludlow Family Dentistry Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295759876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 KENDALL ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "01056",
            "telephone_number": "413-583-6574",
            "fax_number": "413-596-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 KENDALL ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "01056",
            "telephone_number": "413-583-6574",
            "fax_number": "413-596-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGIEL",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

Verify at the official NPI Registry.