Individual provider Active NPI

Miray Wessa, DMD

  • General Practice Dentistry
  • Plymouth, MA
National Provider Identifier
1457889651
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1857590 Issued in MA
Practice address
24 North St
Plymouth, MA 02360-3382
Phone
(508) 746-1840
Fax
(508) 746-7318
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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 DN1857590 MA Primary

Addresses

Primary practice location

24 North St
Plymouth, MA 02360-3382

Mailing address

24 North St
Plymouth, MA 02360-3382
Phone (508) 746-1840

Other identifiers 1

IdentifierTypeStateIssuer
DN1857590OtherMASTATE

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

LicenseStateTypeSpecialty
DN1857590MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Miray Wessa DMD, PC St Mary Dental Care Current Accepting new patients
Rizkalla Dental Associates General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1457889651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NORTH ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603382",
            "telephone_number": "508-746-1840",
            "fax_number": "508-746-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NORTH ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603382",
            "telephone_number": "508-746-1840",
            "fax_number": "508-746-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSA",
        "first_name": "MIRAY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "DN1857590",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.