NPIMap

Organization Active NPI

Nathaniel Wieder, DMD, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brooklyn, NY
National Provider Identifier
1518410281
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
058348-1 Issued in NY
Legal business name
NATHANIEL WIEDER, DMD, P.C.
Practice address
390 Berry St
Suite B
Brooklyn, NY 11249-6084
Phone
(718) 218-7210
NPI assigned
Jul 29, 2016
Last updated
Jul 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Authorized official

Name
Nathaniel Wieder, D.M.D.NPI 1528424165
Title
President
Phone
(516) 316-4480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 058348-1 NY Primary

Addresses

Primary practice location

390 Berry St
Suite B
Brooklyn, NY 11249-6084

Mailing address

390 Berry St
Suite B
Brooklyn, NY 11249-6084

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1518410281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 BERRY ST",
            "address_2": "SUITE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112496084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 BERRY ST",
            "address_2": "SUITE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112496084",
            "telephone_number": "718-218-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHANIEL WIEDER, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "WIEDER",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-316-4480",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "058348-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.