Individual provider Active NPI

Wesley Guenther, DDS

  • General Practice Dentistry
  • Chickasha, OK
National Provider Identifier
1033639430
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6981 Issued in OK
Practice address
2209 S 4TH St
Chickasha, OK 73018-6802
Phone
(405) 256-3267
NPI assigned
Jun 27, 2017
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6981 OK Primary

Addresses

Primary practice location

2209 S 4TH St
Chickasha, OK 73018-6802

Mailing address

1711 Investors Ave
El Reno, OK 73036-1607
Phone (405) 262-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6981OKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Dental of Chickasha PLLC General Practice CurrentSince Mar 26, 2023 Accepting new patients
Optimum Dental of Newcastle, PLLC Current Accepting new patients
Optimum Dental of Elgin, PLLC CurrentSince Aug 13, 2023 Accepting new patients
El Reno Dental PastSince Jul 1, 2022 Accepting new patients
PLW Anesthesia LLC PastSince Jul 1, 2022 Accepting new patients

Locations

2209 S 4th St
Chickasha, OK 73018
Phone (405) 256-3267

12885 Commerce Dr
Elgin, OK 73538
Phone (405) 206-2916

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1033639430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 INVESTORS AVE",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730361607",
            "telephone_number": "405-262-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 S 4TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730186802",
            "telephone_number": "405-256-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUENTHER",
        "first_name": "WESLEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.