Active NPI
David Robert Wiemer, D.M.D.
- Dentist
- Shelton, CT
National Provider Identifier
1376587766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6184
- Practice address
- 9 Cots St
Suite 2a
Shelton, CT 06484-3866 - Phone
- (203) 924-8922
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6184 | CT | Primary |
Addresses
Primary practice location
9 Cots St
Suite 2a
Shelton, CT 06484-3866
Mailing address
9 Cots St
Suite 2a
Shelton, CT 06484-3866
Phone (203) 924-8922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1376587766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 COTS ST",
"address_2": "SUITE 2A",
"city": "SHELTON",
"state": "CT",
"postal_code": "064843866",
"telephone_number": "203-924-8922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 COTS ST",
"address_2": "SUITE 2A",
"city": "SHELTON",
"state": "CT",
"postal_code": "064843866",
"telephone_number": "203-924-8922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEMER",
"first_name": "DAVID",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "6184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.