Lance David Wiener, MA CCC SLP

Primary specialty

SpecialistTaxonomy code 174400000X

License

SA510 Issued in FL

Practice address

2785 NE 183Rd St
Aventura, FL 33160-2171

Phone

(305) 932-8994

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306948211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20281 E COUNTRY CLUB DR",
            "address_2": "APT 2504",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803010",
            "telephone_number": "305-937-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 NE 183RD ST",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602171",
            "telephone_number": "305-932-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "LANCE",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MA  CCC  SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "SA510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890177500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Miguel Western
• Kristin Elaine Westwood, RPT
• Krystle Whiley
• Jeremy Boyd White, MD
• Edward L Wiener, D.O.
• Steven Wigdor, O.D.
• Renan Wilding
• Michael H Wilensky, M.D.
• Robb Elliott Wilentz, MD
• Williams Family and Sports Chiropractic, LLC

• Specialist in Aventura, FL
• Providers in Aventura, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.