Organization Active NPI

Doctor Wirez PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Huntingdon Valley, PA
National Provider Identifier
1023632221
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DOCTOR WIREZ PLLC
Practice address
2655 Philmont Ave
Huntingdon Valley, PA 19006-5314
Phone
(484) 202-7080
NPI assigned
Jun 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Dr. Joel M StormNPI 1174505382
Title
Orthodontist
Phone
(484) 202-7080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2655 Philmont Ave
Huntingdon Valley, PA 19006-5314

Mailing address

2655 Philmont Ave
Huntingdon Valley, PA 19006-5314
Phone (484) 202-7080

National Provider Directory

National Provider Directory

Locations

2655 Philmont Ave
Huntingdon Vy, PA 19006
Phone (484) 202-7080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1023632221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 PHILMONT AVE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065314",
            "telephone_number": "484-202-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 PHILMONT AVE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065314",
            "telephone_number": "484-202-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR WIREZ PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "STORM",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "484-202-7080",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.