Individual provider Active NPI

Jessica Ann McPherson, DDS

  • Dentist
  • Weymouth, MA
National Provider Identifier
1770815425
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1856669 Issued in MA
Practice address
130 Broad St
Weymouth, MA 02188-2337
Phone
(781) 335-1576
Fax
(781) 335-8401
NPI assigned
Feb 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14573 MD
Dentist 122300000X 1856669 MA Primary

Addresses

Primary practice location

130 Broad St
Weymouth, MA 02188-2337

Mailing address

130 Broad St
Weymouth, MA 02188-2337
Phone (781) 335-1576

Other practice location 1

Psc 9 Box 5094
Apo, AE 09123-0051
Phone 496565618193

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
I20160304001277 MA Order and Referring Only - DentistPractitioner - Dentist 9335445196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1856669MAMDDentist
14573MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Weymouth Dental Associates Dentist Past Accepting new patients
Weymouth Dental Associates Dentist Past Accepting new patients

Organizations & group practices 2

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": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1770815425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BROAD ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021882337",
            "telephone_number": "781-335-1576",
            "fax_number": "781-335-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BROAD ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021882337",
            "telephone_number": "781-335-1576",
            "fax_number": "781-335-8401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Psc 9 Box 5094",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "091230051",
            "country_code": "US",
            "telephone_number": "496565618193",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14573",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "1856669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.