Active NPI
Annika Kristin Wessel, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Mountain Top, PA
National Provider Identifier
1457119190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DS043364
- Practice address
- 20 N Mountain Blvd
Mountain Top, PA 18707-1117 - Phone
- (570) 474-0420
- NPI assigned
- Mar 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS043364 | PA | Primary |
Addresses
Primary practice location
20 N Mountain Blvd
Mountain Top, PA 18707-1117
Mailing address
45 Sycamore Dr
Drums, PA 18222-2049
Phone (570) 582-6913
Other practice location 1
1201 S Church St
Hazle Township, PA 18201-7667
Phone (570) 454-8601
Other practice location 2
395 Bedford St
Clarks Summit, PA 18411-1805
Phone (570) 319-6651
Other practice location 3
1170 Twin Stacks Dr
Dallas, PA 18612-8505
Phone (570) 866-3280
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS043364 | PA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1457119190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 SYCAMORE DR",
"city": "DRUMS",
"state": "PA",
"postal_code": "182222049",
"telephone_number": "570-582-6913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 N MOUNTAIN BLVD",
"city": "MOUNTAIN TOP",
"state": "PA",
"postal_code": "187071117",
"telephone_number": "570-474-0420"
}
],
"practiceLocations": [
{
"address_1": "1201 S Church St",
"address_purpose": "LOCATION",
"city": "Hazle Township",
"state": "PA",
"postal_code": "182017667",
"country_code": "US",
"telephone_number": "570-454-8601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "395 Bedford St",
"address_purpose": "LOCATION",
"city": "Clarks Summit",
"state": "PA",
"postal_code": "184111805",
"country_code": "US",
"telephone_number": "570-319-6651",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1170 Twin Stacks Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "PA",
"postal_code": "186128505",
"country_code": "US",
"telephone_number": "570-866-3280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WESSEL",
"first_name": "ANNIKA",
"middle_name": "KRISTIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-07",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "DS043364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain Top, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.