Audra Ann Wessel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10916 Issued in MN

Practice address

8910 Penn Ave S
Bloomington, MN 55431-2025

Phone

(952) 881-0504

Fax

(952) 884-0188

NPI assigned

Nov 14, 2006

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

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033281209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14072 ZINRAN AVE",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782158",
            "telephone_number": "952-445-6494",
            "fax_number": "952-884-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 PENN AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312025",
            "telephone_number": "952-881-0504",
            "fax_number": "952-884-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSEL",
        "first_name": "AUDRA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayode J Wemimo, DNP, PMHNP
• Madeline Hope Wencl, PA
• Heidi Wenger, M.S., CCC-SLP
• Anne Marie Werner-Dempsey, D.C.
• Nicholas Werth, PA-C
• Katie Lynn Westanmo, RN, MSN
• Adam Western Sr., LADC MA BS
• Anna Elizabeth Westlund, OTD, OTR/L
• Gailey Westlund, CMT SI PRACTITIONER
• Kristine Kae Westrom, MD

• General Practice Dentistry in Bloomington, MN
• Providers in Bloomington, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.