Joseph H Wetherhold, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3741 Issued in ME

Practice address

348 US Route 1
Freeport, ME 04032-7016

Phone

(207) 865-1900

Fax

(207) 865-1922

NPI assigned

Mar 20, 2007

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 2

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

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.

• Alta Dental of Maine, PC

  • General Practice Dentistry
  • Freeport, ME
  • NPI 1528239910
  NPD (past) Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1740305614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 US ROUTE 1",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327016",
            "telephone_number": "207-865-1900",
            "fax_number": "207-865-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 US ROUTE 1",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327016",
            "telephone_number": "207-865-1900",
            "fax_number": "207-865-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHERHOLD",
        "first_name": "JOSEPH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119860000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORP. NPI",
            "identifier": "1891829735",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Wall, PA-C
• Gina Warren, NTP, RWP
• Corie Washow
• Tina Weaver, PT
• Well Woman Clinic, PLLC
• Jessica Whitten, LCPC
• Lorien Courtenay Snellings Whitten, LCPC
• Renee D. Williams, LCSW
• Katrina Wittine, M.S., BCBA
• Linda F Wolfe, FNP

• General Practice Dentistry in Freeport, ME
• Providers in Freeport, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.