Amanda Wiechert, DMD
Individual provider Active NPI Dentist · Yorktown Heights, NY
NPI 1285063503 · NPPES record last updated Nov 7, 2013
Key facts
- NPI
- 1285063503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 052521 (NY)
- Practice address
- 6 Woods Brooke LN
Apt. 2
Yorktown Heights, NY 10598-5153 - Phone
- (618) 314-2881
- NPI assigned
- Nov 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 14, 2016 through Mar 14, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052521 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yorktown Dental Group LLP | Past | Accepting new patients | |
| Alan R. Schadlow, M.D., P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 052521 | NY | Yes |
Addresses
Primary practice location
6 Woods Brooke LN
Apt. 2
Yorktown Heights, NY 10598-5153
Mailing address
6 Woods Brooke LN
Apt. 2
Yorktown Heights, NY 10598-5153
Phone (618) 314-2881
Other providers in Yorktown Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.