Andre Weissheimer, DDS, MS, PHD.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DF11988 Issued in MA

Practice address

188 Longwood Ave
Boston, MA 02115-5888

Phone

(617) 432-1434

Fax

(617) 432-4258

NPI assigned

Jun 21, 2023

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1841975216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155888",
            "telephone_number": "617-432-1434",
            "fax_number": "617-432-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155888",
            "telephone_number": "617-432-1434",
            "fax_number": "617-432-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSHEIMER",
        "first_name": "ANDRE",
        "credential": "DDS, MS, PHD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DF11988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://hsdm.harvard.edu/harvard-dental-center",
            "affiliation": "N",
            "address_1": "188 Longwood Ave",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021155888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yasmine Weiss, STUDENT
• Zoe Weiss, M.D.
• Erik Weissberg, OD
• Alan Weissburg, MD
• Joleen Nicole Weissert, M.D.
• Ralph Weissleder, MD PHD
• Barbara Nancy Weissman, MD
• Esther Irene Weissman, EDD
• Kenneth R Weissman, MD
• Laura T Weissman, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.