Amy Lynn Wieber, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

4822-15 Issued in WI

Practice address

N25W26378 Whitetail CT
Pewaukee, WI 53072-4574

Phone

(262) 695-8363

NPI assigned

Jan 12, 2010

Last updated

Jan 12, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1356671481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N25W26378 WHITETAIL CT",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530724574",
            "telephone_number": "262-695-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N25W26378 WHITETAIL CT",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530724574",
            "telephone_number": "262-695-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBER",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "4822-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa R Wenger
• Penny Ann Wesson, MD
• Kevin Wexler, D.C.
• Sarah Whiteside, MPT
• Stephanie L Whitt, M.D.
• Wiebusch & Nicholson Center for Autism, Inc.
• Christopher Paul Wiebusch, PH.D.
• Jessica Helena Wieland, RN
• Nicole L Wierzbicki, PT
• Nicholas Wilcox, M.D.

• Dentist in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.