NPIMap

Organization Active NPI

Wegrzyn Dental Group Inc

  • General Practice Dentistry
  • Chicopee, MA
National Provider Identifier
1487788204
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18137 Issued in MA
Legal business name
WEGRZYN DENTAL GROUP INC
Practice address
391 Montgomery St
Chicopee, MA 01020-1929
Phone
(413) 592-8099
Fax
(413) 592-5839
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
William Joseph Wegrzyn Jr., DMDNPI 1306967328
Title
Owner
Phone
(413) 592-8099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18137 MA Primary

Addresses

Primary practice location

391 Montgomery St
Chicopee, MA 01020-1929

Mailing address

391 Montgomery St
Chicopee, MA 01020-1929
Phone (413) 592-8099

Other identifiers 2

IdentifierTypeStateIssuer
1426492OtherCAUNITED CONCORDIA TRI CARE
X11395OtherMABCBS MASS

National Provider Directory

National Provider Directory

Locations

391 Montgomery St
Chicopee, MA 01020
Phone (413) 592-8099

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1487788204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 MONTGOMERY ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201929",
            "telephone_number": "413-592-8099",
            "fax_number": "413-592-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 MONTGOMERY ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201929",
            "telephone_number": "413-592-8099",
            "fax_number": "413-592-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEGRZYN DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "WEGRZYN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-592-8099",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA TRI CARE",
            "identifier": "1426492",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MASS",
            "identifier": "X11395",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.