NPIMap

Organization Active NPI

David S. Wiener D.D.S. & Robert L. Wagner DMD P.LL.C.

  • Public Health Dentistry
  • Smithtown, NY
National Provider Identifier
1306181847
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
DAVID S. WIENER D.D.S. & ROBERT L. WAGNER DMD P.LL.C.
Practice address
200 East Main St.
Suite 4E
Smithtown, NY 11787
Phone
(631) 265-3132
Fax
(631) 265-3209
NPI assigned
Dec 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Dr. David Steven Wiener, DDS.
Title
Dr./Partner
Phone
(631) 265-3132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

200 East Main St.
Suite 4E
Smithtown, NY 11787

Mailing address

200 East Main St.
Suite 4E
Smithtown, NY 11787
Phone (631) 265-3132

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1306181847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EAST MAIN ST.",
            "address_2": "SUITE 4E",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-265-3132",
            "fax_number": "631-265-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAST MAIN ST.",
            "address_2": "SUITE 4E",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-265-3132",
            "fax_number": "631-265-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. WIENER D.D.S. & ROBERT L. WAGNER DMD P.LL.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "DR./PARTNER",
        "authorized_official_telephone_number": "631-265-3132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.