Individual provider Active NPI

Paula Marie Wolfert, DMD

  • General Practice Dentistry
  • Weymouth, MA
National Provider Identifier
1891874459
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15085 Issued in MA
Practice address
130 Broad St
Weymouth, MA 02188-2337
Phone
(781) 335-1576
NPI assigned
Nov 3, 2006
Sex
Female
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
General Practice Dentistry 1223G0001X 15085 MA Primary

Addresses

Primary practice location

130 Broad St
Weymouth, MA 02188-2337

Mailing address

3 Catha LN
Hingham, MA 02043-2903
Phone (781) 749-6812

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
I20191217001989 MA Order and Referring Only - DentistPractitioner - Dentist 9537593918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15085MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Weymouth Dental Associates Past Accepting new patients
Weymouth Dental Associates 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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891874459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CATHA LN",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020432903",
            "telephone_number": "781-749-6812"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFERT",
        "first_name": "PAULA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.