Organization Active NPI

Weymouth Oral and Maxillofacial Surgery, PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Weymouth, MA
National Provider Identifier
1972949279
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
20468 Issued in MA
Legal business name
WEYMOUTH ORAL AND MAXILLOFACIAL SURGERY, PC
Practice address
851 Main St
Suite #20
Weymouth, MA 02190-1612
Phone
(781) 331-2422
Fax
(781) 331-2780
NPI assigned
May 14, 2013
Last updated
May 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Dr. Lawrence Michael Juvet, DDS. MD
Title
President
Phone
(781) 331-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 20468 MA Primary

Addresses

Primary practice location

851 Main St
Suite #20
Weymouth, MA 02190-1612

Mailing address

851 Main St
Suite #20
Weymouth, MA 02190-1612
Phone (781) 331-2422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130820000150 MA Part B Supplier - Clinic/Group Practice 2567604697 Receives reassigned benefits from 1 practitioner
Practice locations: Weymouth, MA

National Provider Directory

National Provider Directory

Locations

851 Main St
Ste 20
Weymouth, MA 02190
Phone (781) 331-2422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1972949279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 MAIN ST",
            "address_2": "SUITE #20",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901612",
            "telephone_number": "781-331-2422",
            "fax_number": "781-331-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MAIN ST",
            "address_2": "SUITE #20",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901612",
            "telephone_number": "781-331-2422",
            "fax_number": "781-331-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEYMOUTH ORAL AND MAXILLOFACIAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "JUVET",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-331-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS. MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "20468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.