Robert Alan Weigand, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4366 Issued in ME

Practice address

18 Elm St
Antrim, NH 03440-0446

Phone

(603) 588-6362

Fax

(603) 588-8039

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• G a Perry DDS PA

  • General Practice Dentistry
  • Antrim, NH
  • NPI 1942359260
  NPD (past)
• Brunswick Dentistry PLLC

  • Dental Clinic/Center
  • Brunswick, ME
  • NPI 1275301426
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1689744732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PLEASANT ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112203",
            "telephone_number": "207-344-1999",
            "fax_number": "207-844-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ELM ST",
            "city": "ANTRIM",
            "state": "NH",
            "postal_code": "034400446",
            "telephone_number": "603-588-6362",
            "fax_number": "603-588-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGAND",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "4366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30302832",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Thomas O'Neill, DMD
• Kerry Cottle Roy, OTR/L
• Sobriety Centers of New Hampshire
• The Grapevine Family & Community Resource Center
• Town of Antrim

• General Practice Dentistry in Antrim, NH
• Providers in Antrim, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.