Individual provider Active NPI

Lindsay Dyan Wessner, DDS

  • General Practice Dentistry
  • Cherry Hill, NJ
National Provider Identifier
1467697888
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2630600 Issued in NJ
Practice address
63 Kresson Rd
Cherry Hill, NJ 08034-3200
Phone
(856) 857-0400
Fax
(856) 216-0779
NPI assigned
Dec 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14389 MD
General Practice Dentistry 1223G0001X 2630600 NJ Primary

Addresses

Primary practice location

63 Kresson Rd
Cherry Hill, NJ 08034-3200

Mailing address

3 Dover LN
Medford, NJ 08055-3349
Phone (609) 221-9761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160610001263 NJ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6103116603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14389MDMDGeneral Practice Dentistry
2630600NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1467697888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DOVER LN",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553349",
            "telephone_number": "609-221-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 KRESSON RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343200",
            "telephone_number": "856-857-0400",
            "fax_number": "856-216-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSNER",
        "first_name": "LINDSAY",
        "middle_name": "DYAN",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14389",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "2630600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.