Individual provider Active NPI

Hans Peter Weber, DMD

  • Prosthodontics
  • Boston, MA
National Provider Identifier
1568538361
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
17724 Issued in MA
Practice address
188 Longwood Avenue
Harvard Dental Center
Boston, MA 02115-5888
Phone
(617) 432-1286
Fax
(617) 432-0901
NPI assigned
Nov 27, 2006
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
Prosthodontics 1223P0700X 17724 MA Primary

Addresses

Primary practice location

188 Longwood Avenue
Harvard Dental Center
Boston, MA 02115-5888

Mailing address

354 Woodland Road
Chestnut Hill, MA 02467-2215
Phone (617) 739-5473

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
I20210127002584 MA Order and Referring Only - DentistPractitioner - Dentist 9830503101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17724MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568538361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 WOODLAND ROAD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672215",
            "telephone_number": "617-739-5473",
            "fax_number": "617-731-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 LONGWOOD AVENUE",
            "address_2": "HARVARD DENTAL CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155888",
            "telephone_number": "617-432-1286",
            "fax_number": "617-432-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "HANS PETER",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "17724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.