Yosemite Dental Care, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

60387 Issued in CA

Legal business name

YOSEMITE DENTAL CARE, LLC

Practice address

5371 State Highway 49 N
Mariposa, CA 95338-9503

Phone

(209) 742-7788

NPI assigned

Mar 27, 2017

Last updated

Mar 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Michael Wieg, D.D.S.

Title

Owner/Clinical Director

Phone

(909) 269-1277

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Watanakeeree, DDS

  • Dentist
  • Mariposa, CA
  • NPI 1144661604
  NPD (past)
• Thomas George Wieg, D.D.S.

  • General Practice Dentistry
  • Mariposa, CA
  • NPI 1497869960
  NPD (past)

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1316478779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953381209",
            "telephone_number": "209-742-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5371 STATE HIGHWAY 49 N",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953389503",
            "telephone_number": "209-742-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOSEMITE DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "WIEG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "909-269-1277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "60387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlyn C Wice
• Caleen C Wieg
• Thomas George Wieg, D.D.S.
• Carla R Williams
• Perry S Wong, DDS
• Yosemite Medical Services, Inc.
• Yosemite Valley Medical Services, a Medical Corporation

• Dentist in Mariposa, CA
• Providers in Mariposa, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.