Andrew Wiers, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.027814 Issued in IL

Practice address

3739 N Pine Grove Ave
#G
Chicago, IL 60613-4176

Phone

(608) 395-1991

NPI assigned

Oct 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1184714529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3739 N PINE GROVE AVE",
            "address_2": "#G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 N PINE GROVE AVE",
            "address_2": "#G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134176",
            "telephone_number": "608-395-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERS",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6057-15",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "2562-RESIDENT",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Wiener
• Robert Ignace Wier, ROBERT WIER
• Robert Steven Wier, ROBERT S. WIER DDS
• Jessica Wierdak
• Anna Wiernicki
• Violet Corinne Boothe Wiersum, APRN, CNP
• Dana Wierzbicki, LPC
• Thomas Wierzbinski, BCBA
• Holly Noelle Wiese, A.M., MSW, LCSW
• Lisa Jane Wiese, LCSW

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.