Individual provider Active NPI

Cara Lynn Wiewiora, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Longwood, FL
National Provider Identifier
1053707729
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN20185 Issued in FL
Practice address
2855 W Sr 434
Suite 1011
Longwood, FL 32779-4480
Phone
(407) 862-1870
Fax
(407) 682-7004
NPI assigned
Apr 9, 2015
Last updated
Jun 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN20185 FL Primary

Addresses

Primary practice location

2855 W Sr 434
Suite 1011
Longwood, FL 32779-4480

Mailing address

2855 W Sr 434
Suite 1011
Longwood, FL 32779-4480
Phone (407) 862-1870

Other practice location 1

550 Rinehart Rd
Lake Mary, FL 32746-4872
Phone (407) 805-0068

Other names 1

  • Dr. Cara Lynn Weldon Former name

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
DN20185FLMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Smiles, Inc Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Cara L Wiewiora DMD MSD PA Past Accepting new patients

Organizations & group practices 2

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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1053707729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 W SR 434",
            "address_2": "SUITE 1011",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794480",
            "telephone_number": "407-862-1870",
            "fax_number": "407-682-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 W SR 434",
            "address_2": "SUITE 1011",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794480",
            "telephone_number": "407-862-1870",
            "fax_number": "407-682-7004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Rinehart Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327464872",
            "country_code": "US",
            "telephone_number": "407-805-0068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEWIORA",
        "first_name": "CARA",
        "middle_name": "LYNN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN20185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "WELDON",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.