Active NPI
James Philip Wasielewski, D.D.S
- General Practice Dentistry
- Herkimer, NY
National Provider Identifier
1366539348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 051243
- Practice address
- 314 N Prospect St
Herkimer, NY 13350-1911 - Phone
- (315) 866-2790
- Fax
- (315) 867-5979
- NPI assigned
- Oct 9, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 051243 | NY | Primary |
| General Practice Dentistry | 1223G0001X | DN 17719 | FL |
Addresses
Primary practice location
314 N Prospect St
Herkimer, NY 13350-1911
Mailing address
11 Foxcroft Rd
New Hartford, NY 13413-2734
Phone (315) 797-6827
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 |
|---|---|---|---|
| DN 17719 | FL | MD | General Practice Dentistry |
| 051243 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilario Joseph Melo | 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": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366539348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 FOXCROFT RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132734",
"telephone_number": "315-797-6827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 N PROSPECT ST",
"city": "HERKIMER",
"state": "NY",
"postal_code": "133501911",
"telephone_number": "315-866-2790",
"fax_number": "315-867-5979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASIELEWSKI",
"first_name": "JAMES",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "051243",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN 17719",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herkimer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.