Active NPI
Dentistryone of Maine Derek Weigand PC
- General Practice Dentistry
- South Portland, ME
National Provider Identifier
1982434650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTISTRYONE OF MAINE DEREK WEIGAND PC
- Practice address
- 443 Western Ave # 1062
South Portland, ME 04106-1726 - Phone
- (877) 712-7875
- NPI assigned
- Aug 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derek Weigand
- Title
- Owner
- Phone
- (877) 712-7875
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Pediatric Dentistry | 1223P0221X |
Addresses
Primary practice location
443 Western Ave # 1062
South Portland, ME 04106-1726
Mailing address
20 Highland Ave
Metuchen, NJ 08840-1949
National Provider Directory
National Provider DirectoryLocations
443 Western Ave
#1062
South Portland, ME 04106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747094400000",
"number": "1982434650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 HIGHLAND AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088401949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "443 WESTERN AVE # 1062",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041061726",
"telephone_number": "877-712-7875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTISTRYONE OF MAINE DEREK WEIGAND PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-06",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A",
"authorized_official_last_name": "WEIGAND",
"authorized_official_first_name": "DEREK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "877-712-7875"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.