John Andrew Werner, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-4413 Issued in ID

Practice address

619 S Washington St Ste 303
Moscow, ID 83843-3063

Phone

(208) 883-7777

NPI assigned

Feb 22, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 8, 2015 through Apr 8, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• John a Werner PLLC

  • General Practice Dentistry
  • Moscow, ID
  • NPI 1306190988
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351900800000",
    "number": "1144355983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 VICTORIA DR",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838437813",
            "telephone_number": "509-304-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S WASHINGTON ST STE 303",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433063",
            "telephone_number": "208-883-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addison Taylor Weglin, RN
• Nicole Marie Weiss, PMHNP-BC
• Dustin Frederick Weitz, D.D.S., M.S.
• Gerald E Weitz, D.D.S.
• Amanda Wells, MA, CCC-SLP
• Nicole Werner, PHD
• Victoria White Eagle Hahn, LCSW
• Jordahn Saige White
• Alan J. Whitlock, PH.D.
• Lorna Wigen, LMSW

• General Practice Dentistry in Moscow, ID
• Providers in Moscow, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.