Active NPI
Alexander Wenner, DDS
- General Practice Dentistry
- Trophy Club, TX
National Provider Identifier
1295126076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34920
- Practice address
- 2240 SH-114
Ste 650
Trophy Club, TX 76262 - Phone
- (175) 325-1538
- NPI assigned
- Feb 14, 2015
- Last updated
- Jul 3, 2023
- 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 | 34920 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
2240 SH-114
Ste 650
Trophy Club, TX 76262
Mailing address
2240 SH 114
Ste 650
Trophy Club, TX 76262
Phone (703) 474-9018
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 |
|---|---|---|---|
| 34920 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Alexander Wenner PLLC | Current | Accepting new patients |
Locations
2240 E Highway 114
Ste 650
Trophy Club, TX 76262
Phone (817) 308-4309
Organizations & group practices 1
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": "1423872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1295126076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 SH 114",
"address_2": "STE 650",
"city": "TROPHY CLUB",
"state": "TX",
"postal_code": "76262",
"telephone_number": "703-474-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 SH-114",
"address_2": "STE 650",
"city": "TROPHY CLUB",
"state": "TX",
"postal_code": "76262",
"telephone_number": "175-325-1538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENNER",
"first_name": "ALEXANDER",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-14",
"last_updated": "2023-07-03",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "34920",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trophy Club, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.