Active NPI
Daniel Harris Wenger, MT-BC, LCAT
- Music Therapist
- Camden, ME
National Provider Identifier
1306535992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 002698
- Practice address
- 21 Lily Pond Dr
Camden, ME 04843-2247 - Phone
- (646) 633-3442
- NPI assigned
- May 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 002698 | NY | Primary |
| Music Therapist | 225A00000X | 16029 |
Addresses
Primary practice location
21 Lily Pond Dr
Camden, ME 04843-2247
Mailing address
21 Lily Pond Dr
Camden, ME 04843-2247
Phone (646) 633-3442
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 |
|---|---|---|---|
| 002698 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1306535992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 LILY POND DR",
"city": "CAMDEN",
"state": "ME",
"postal_code": "048432247",
"telephone_number": "646-633-3442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 LILY POND DR",
"city": "CAMDEN",
"state": "ME",
"postal_code": "048432247",
"telephone_number": "646-633-3442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENGER",
"first_name": "DANIEL",
"middle_name": "HARRIS",
"credential": "MT-BC, LCAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "NY",
"license": "002698",
"primary": true
},
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": "16029",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camden, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.