Organization Active NPI

WDW Birmingham PLLC

Doing business as Whole Dental Wellness

  • General Practice Dentistry
  • Birmingham, MI
National Provider Identifier
1063008894
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WDW BIRMINGHAM PLLC
Doing business as
Whole Dental Wellness
Practice address
1000 S Old Woodward Ave Ste 106
Birmingham, MI 48009-6729
Phone
(248) 645-1060
Fax
(248) 833-0126
NPI assigned
Dec 16, 2020
Last updated
Dec 16, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
WDW ROSEVILLE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Mrs. Whitney Weiner
Title
Owner
Phone
(248) 880-6190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1000 S Old Woodward Ave Ste 106
Birmingham, MI 48009-6729

Mailing address

1000 S Old Woodward Ave Ste 106
Birmingham, MI 48009-6729
Phone (248) 645-1060

Other names 1

  • Whole Dental Wellness Doing business as

National Provider Directory

National Provider Directory
Part of
Wdwrosevillepllc

Locations

1000 S Old Woodward Ave
Ste 106
Birmingham, MI 48009
Phone (248) 645-1060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1063008894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S OLD WOODWARD AVE STE 106",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096729",
            "telephone_number": "248-645-1060",
            "fax_number": "248-833-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S OLD WOODWARD AVE STE 106",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096729",
            "telephone_number": "248-645-1060",
            "fax_number": "248-833-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WDW BIRMINGHAM PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WDW ROSEVILLE PLLC",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-880-6190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Dental Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.