Thomas R Wenham, DMD, MMSC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

6308-015 Issued in WI

Practice address

100 River PL
Suite 110
Monona, WI 53716-4041

Phone

(608) 222-6160

Fax

(608) 222-6248

NPI assigned

Sep 17, 2008

Sex

Male

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

Practice roles

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.

• Madison Pediatric Dental, SC

  • Pediatric Dentistry
  • Madison, WI
  • NPI 1538230966
  NPD (past)

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1447409131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVER PL",
            "address_2": "SUITE 110",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537164041",
            "telephone_number": "608-222-6160",
            "fax_number": "608-222-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER PL",
            "address_2": "SUITE 110",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537164041",
            "telephone_number": "608-222-6160",
            "fax_number": "608-222-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENHAM",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD, MMSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "6308-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Weink
• Katrina G Welborn, LPC-IT
• Heather Quinn Wende, APSW
• Diane L Wendland, M.D.
• Grace Yang Wenham, D.M.D.
• Kathryn B White, PHD
• Beth S Whittemore, MSW
• William Howard Wilcox, D.D.S.
• Karen Elizabeth Willems
• Michael Duane Williams, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Monona, WI
• Providers in Monona, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.