Individual provider Active NPI

Andrew Wiemeyer, D.M.D.

  • Prosthodontics
  • Duxbury, MA
National Provider Identifier
1639386477
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
20230 Issued in MA
Practice address
104 Tremont St
Suite 4
Duxbury, MA 02332-4751
Phone
(781) 934-5292
Fax
(781) 934-5511
NPI assigned
May 17, 2007
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 20230 MA Primary

Addresses

Primary practice location

104 Tremont St
Suite 4
Duxbury, MA 02332-4751

Mailing address

104 Tremont St
Suite 4
Duxbury, MA 02332-4751
Phone (781) 934-5292

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
I20150626001013 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3476865874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Prosthodontics P.C. Prosthodontics Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639386477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TREMONT ST",
            "address_2": "SUITE 4",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324751",
            "telephone_number": "781-934-5292",
            "fax_number": "781-934-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TREMONT ST",
            "address_2": "SUITE 4",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324751",
            "telephone_number": "781-934-5292",
            "fax_number": "781-934-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEMEYER",
        "first_name": "ANDREW",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "20230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

Verify at the official NPI Registry.