Michael Weisner, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN1855525 Issued in MA

Practice address

130 Bowdoin St Apt 1404
Boston, MA 02108-2722

Phone

(978) 509-8125

NPI assigned

Sep 12, 2010

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 24, 2017 through Oct 24, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Minot Dental Partners

  • Dentist
  • Minot, ND
  • NPI 1871959072
  NPD (past) Authorized official

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

{
    "created_epoch": "1284249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284249600000",
    "number": "1356658348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BOWDOIN ST APT 1404",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082722",
            "telephone_number": "978-509-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BOWDOIN ST APT 1404",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082722",
            "telephone_number": "978-509-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISNER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-12",
        "last_updated": "2010-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1855525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Scott Weisholtz, M.D.
• Elizabeth Schnorr Weiskopf, MSN, RN, CPNP
• Kipp Weiskopf, M.D., PH.D.
• Ashley Kochanek Weisman, MD
• Adrienne Weisner, DMD
• Katherine Ella Weiss-Logan, LICSW
• Andrea Weiss, PSYD
• Anthony Weiss, MD
• Benjamin Weiss, LICSW
• Cary Nathaniel Weiss, MD

• Periodontics in Boston, MA
• Providers in Boston, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.