Angela Marie Wimer, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DS038000 Issued in PA

Practice address

4810 Horseshoe Pike
Honey Brook, PA 19344-0550

Phone

(610) 273-3553

Fax

(610) 273-9381

NPI assigned

Nov 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 21, 2021 through Jan 21, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Honey Brook Dental LLC

  • Dental Clinic/Center
  • Honey Brook, PA
  • NPI 1215778162
  NPD (past)
• Kop Dental Care

  • General Practice Dentistry
  • King of Prussia, PA
  • NPI 1730735283
  NPD (past)

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1023345808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 HORSESHOE PIKE",
            "address_2": "P.O. BOX 550",
            "city": "HONEY BROOK",
            "state": "PA",
            "postal_code": "193440550",
            "telephone_number": "610-273-3553",
            "fax_number": "610-273-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 HORSESHOE PIKE",
            "city": "HONEY BROOK",
            "state": "PA",
            "postal_code": "193440550",
            "telephone_number": "610-273-3553",
            "fax_number": "610-273-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Rehab Center
• Thrive Pelvic Therapy LLC
• Taren Weidner, PTA
• Nicholas L. Wengrin, D.M.D., F.A.G.D.
• Molly Marie Wilson, DC
• Joanne Zwierzyna

• Dentist in Honey Brook, PA
• Providers in Honey Brook, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.