Individual provider Active NPI

Philip Joseph Wegmann, D.D.S.

  • General Practice Dentistry
  • Lancaster, WI
National Provider Identifier
1386730794
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001501 Issued in WI
Practice address
114 S Madison St
Lancaster, WI 53813-1761
Phone
(608) 723-4367
Fax
(608) 723-4713
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5001501 WI Primary

Addresses

Primary practice location

114 S Madison St
Lancaster, WI 53813-1761

Mailing address

114 S Madison St
Lancaster, WI 53813-1761
Phone (608) 723-4367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5001501WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wegmann&Farmer Dental Health Center General Practice Past Accepting new patients

Organizations & group practices 1

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386730794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S MADISON ST",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538131761",
            "telephone_number": "608-723-4367",
            "fax_number": "608-723-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S MADISON ST",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538131761",
            "telephone_number": "608-723-4367",
            "fax_number": "608-723-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGMANN",
        "first_name": "PHILIP",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.