Wiederin Construction LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

WIEDERIN CONSTRUCTION LLC

Practice address

823 Alta Vista Dr
Carroll, IA 51401-1805

Phone

(712) 790-1755

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Steve Wiederin

Title

Owner

Phone

(712) 790-1755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1417672023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 ALTA VISTA DR",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514011805",
            "telephone_number": "712-790-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 ALTA VISTA DR",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514011805",
            "telephone_number": "712-790-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIEDERIN CONSTRUCTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "WIEDERIN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-790-1755"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.