Individual provider Active NPI

Mary Wiechart Rector, DMD

  • General Practice Dentistry
  • Lima, OH
National Provider Identifier
1336590165
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.024773 Issued in OH
Practice address
409 E Kiracofe Ave
Lima, OH 45807-1031
Phone
(419) 331-0031
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24773 OH
General Practice Dentistry 1223G0001X 30.024773 OH Primary

Addresses

Primary practice location

409 E Kiracofe Ave
Lima, OH 45807-1031

Mailing address

409 E Kiracofe Ave
Lima, OH 45807-1031
Phone (419) 331-0031

Other names 1

  • Dr. Mary E Wiechart Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919002351 OH Practitioner - Dentist 2163886466 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24773OHMDGeneral Practice Dentistry
30.024773OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Health Partners of Western Ohio Current Accepting new patients
Health Partners of Western Ohio CurrentSince Sep 6, 2023 Accepting new patients
Health Partners of Western Ohio CurrentSince Sep 6, 2023 Accepting new patients

Locations

1 Spartan Way
Lima, OH 45801
Phone (419) 222-3546

329 N West St
Lima, OH 45801
Phone (419) 229-6007

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1336590165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E KIRACOFE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458071031",
            "telephone_number": "419-331-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E KIRACOFE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458071031",
            "telephone_number": "419-331-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECTOR",
        "first_name": "MARY",
        "middle_name": "WIECHART",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "24773",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WIECHART",
            "middle_name": "E",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.