Individual provider Active NPI

Gitte Wengler, MD

  • Pediatrics Physician
  • Edina, MN
National Provider Identifier
1528063500
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
44287 Issued in MN
Practice address
3250 W 66TH St
Ste 210
Edina, MN 55435-2526
Phone
(952) 927-7337
Fax
(952) 927-8610
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 44287 MN Primary

Addresses

Primary practice location

3250 W 66TH St
Ste 210
Edina, MN 55435-2526

Mailing address

3250 W 66TH St
Ste 210
Edina, MN 55435-2526
Phone (952) 927-7337

Other identifiers 1

IdentifierTypeStateIssuer
320222400MedicaidMN

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
All About Children Pediatrics Past Accepting new patients
Dakota Pediatrics, P.a. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1528063500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W 66TH ST",
            "address_2": "STE 210",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352526",
            "telephone_number": "952-927-7337",
            "fax_number": "952-927-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W 66TH ST",
            "address_2": "STE 210",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352526",
            "telephone_number": "952-927-7337",
            "fax_number": "952-927-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGLER",
        "first_name": "GITTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "44287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320222400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.