Active NPI
David Mason Wielechowski, M.D.
- General Practice Dentistry
- Glenshaw, PA
National Provider Identifier
1306999842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS-035873
- Practice address
- 503 Glenshaw Ave
Glenshaw, PA 15116-2447 - Phone
- (724) 444-8484
- Fax
- (724) 444-8408
- NPI assigned
- Jan 19, 2007
- Last updated
- Jul 24, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS-035873 | PA | Primary |
Addresses
Primary practice location
503 Glenshaw Ave
Glenshaw, PA 15116-2447
Mailing address
503 Glenshaw Ave
Glenshaw, PA 15116-2447
Phone (724) 444-8484
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS-035873 | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1306999842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 GLENSHAW AVE",
"city": "GLENSHAW",
"state": "PA",
"postal_code": "151162447",
"telephone_number": "724-444-8484",
"fax_number": "724-444-8408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 GLENSHAW AVE",
"city": "GLENSHAW",
"state": "PA",
"postal_code": "151162447",
"telephone_number": "724-444-8484",
"fax_number": "724-444-8408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIELECHOWSKI",
"first_name": "DAVID",
"middle_name": "MASON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS-035873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenshaw, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.