Individual provider Active NPI

Maia Yael Wiesenfeld, DMD

  • Pediatric Dentistry
  • Fairlawn, OH
National Provider Identifier
1306533534
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30.027274 Issued in OH
Practice address
3523 Commercial Dr
Fairlawn, OH 44333-5107
Phone
(330) 577-5774
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 30.027274 OH Primary

Addresses

Primary practice location

3523 Commercial Dr
Fairlawn, OH 44333-5107

Mailing address

3523 Commercial Dr
Fairlawn, OH 44333-5107
Phone (330) 577-5774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726003897 OH Order and Referring Only - DentistPractitioner - Dentist 0143681999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: mwiesenfeld228695@ehrdirect.uhhospitals.org

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1306533534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 COMMERCIAL DR",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443335107",
            "telephone_number": "330-577-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 COMMERCIAL DR",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443335107",
            "telephone_number": "330-577-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESENFELD",
        "first_name": "MAIA",
        "middle_name": "YAEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.027274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.