John R. Wiens DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

62455 Issued in CA

Legal business name

JOHN R. WIENS DDS, INC.

Practice address

615 N I St
Madera, CA 93637-3075

Phone

(559) 673-8044

Fax

(559) 673-5447

NPI assigned

Nov 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. John Wiens, D.D.S.

Title

President

Phone

(559) 906-1984

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1174929632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N I ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373075",
            "telephone_number": "559-673-8044",
            "fax_number": "559-673-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N I ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373075",
            "telephone_number": "559-673-8044",
            "fax_number": "559-673-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. WIENS DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-906-1984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "62455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Madera, CA
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.