Active NPI
Paul Wehner, DMD
- General Practice Dentistry
- Madison, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12013867A
- Practice address
- 1105 Clifty Dr
Madison, IN 47250-1614 - Phone
- (812) 273-0207
- NPI assigned
- Jul 7, 2022
- Last updated
- Jan 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12013867A | IN | Primary |
| General Practice Dentistry | 1223G0001X | 12120 | TN |
Addresses
Primary practice location
1105 Clifty Dr
Madison, IN 47250-1614
Mailing address
707 S Riverview Dr
Hanover, IN 47243-8931
Phone (812) 801-3954
Other practice location 1
1112 Gallatin Ave
Nashville, TN 37206-3202
Phone (615) 761-9015
Other practice location 2
1347 Rock Springs Rd
Smyrna, TN 37167-6108
Phone (615) 355-5822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12013867A | IN | MD | General Practice Dentistry |
| 12120 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul B Wehner D.M.D. LLC | Current | Accepting new patients | |
| Harpeth Dental Partners LLC | Current | Accepting new patients | |
| Robert Smith DMD PC | Past | Accepting new patients |
Locations
1105 Clifty Dr
Madison, IN 47250
Phone (812) 273-0207
1347 Rock Springs Rd
Smyrna, TN 37167
Phone (615) 355-5822
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Madison, IN
- NPI 1679362842
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Smyrna, TN
- NPI 1760058010
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Smyrna, TN
- NPI 1841660131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1255064168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 S RIVERVIEW DR",
"city": "HANOVER",
"state": "IN",
"postal_code": "472438931",
"telephone_number": "812-801-3954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 CLIFTY DR",
"city": "MADISON",
"state": "IN",
"postal_code": "472501614",
"telephone_number": "812-273-0207"
}
],
"practiceLocations": [
{
"address_1": "1112 Gallatin Ave",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372063202",
"country_code": "US",
"telephone_number": "615-761-9015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1347 Rock Springs Rd",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "TN",
"postal_code": "371676108",
"country_code": "US",
"telephone_number": "615-355-5822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEHNER",
"first_name": "PAUL",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-07",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12013867A",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "12120",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.