Matthew Scott Wenzel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2008024669 Issued in MO

Practice address

8045 Big Bend Blvd
Suite 203
Webster Groves, MO 63119-2714

Phone

(314) 918-9666

NPI assigned

Oct 6, 2008

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

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• M. Joseph Olk, DDS, PC

  • General Practice Dentistry
  • Webster Groves, MO
  • NPI 1417242777
  NPD (past)

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452297600000",
    "number": "1316198518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 BIG BEND BLVD",
            "address_2": "SUITE 203",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192714",
            "telephone_number": "314-918-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 BIG BEND BLVD",
            "address_2": "SUITE 203",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192714",
            "telephone_number": "314-918-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZEL",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-06",
        "last_updated": "2016-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2008024669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Webster Dental Care
• Kurt A Weisenfels, D.D.S.
• Wellness With Dr. Sharon, LLC
• Welltower Opco Group LLC
• Michael CHI-Fu Weng, D.C.
• Sharon Whalen, D.C.
• Gina Maria White, RDH
• Michael A White, DDS
• Jason Wibbenmeyer, D.C.
• Jennifer Marie Wickersham, L.P.C.

• General Practice Dentistry in Webster Groves, MO
• Providers in Webster Groves, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.