Individual provider Active NPI

Paul Wehner, DMD

  • General Practice Dentistry
  • Madison, IN
National Provider Identifier
1255064168
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12013867A Issued in IN
Practice address
1105 Clifty Dr
Madison, IN 47250-1614
Phone
(812) 273-0207
NPI assigned
Jul 7, 2022
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
12013867AINMDGeneral Practice Dentistry
12120TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Paul B Wehner D.M.D. LLC Current Accepting new patients
Harpeth Dental Partners LLC CurrentSince Apr 1, 2023 Accepting new patients
Robert Smith DMD PC PastSince Apr 1, 2023 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.

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.

Verify at the official NPI Registry.