Bryce Wilen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D1162 Issued in SD

Practice address

1310 North Ave
Spearfish, SD 57783-1525

Phone

(605) 642-7760

NPI assigned

Jun 24, 2017

Last updated

Jan 21, 2022By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wilen Dentistry PLLC

  dba Ivory Family Dentistry

  • Dental Clinic/Center
  • Spearfish, SD
  • NPI 1932726742
  NPD Authorized official
• Wilen Dentistry PLLC

  • Customized Equipment (DME)
  • Rapid City, SD
  • NPI 1578479242
  Authorized official Same address or phone
• Crosswait Dental Practice PC

  • General Practice Dentistry
  • Spearfish, SD
  • NPI 1790829398
  NPD (past)
• Horizon Health Care Inc

  dba Faith Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Faith, SD
  • NPI 1912972712
  NPD (past)

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

{
    "created_epoch": "1498262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1174043780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 NORTH AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831525",
            "telephone_number": "605-642-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 NORTH AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831525",
            "telephone_number": "605-642-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEN",
        "first_name": "BRYCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-24",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D1162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Whitesell, DPT
• Elizabeth Whitesell
• Whole Child Wellness, LLC
• Britt Wickett, PT, DPT, CSCS
• Wilen Dentistry PLLC (Ivory Family Dentistry)
• Brecken Wilkinson, MS
• William Blauer DDS PLLC
• Arik Michael Williams, PT
• Athena M Williams, MA, LPC
• Heidi Marie Williams I

• Dentist in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.