Amber L Wisner, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D0835 Issued in SD

Practice address

150 Tower Rd Ste 100
Dakota Dunes, SD 57049-5449

Phone

(605) 242-7123

Fax

(605) 242-1526

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Tri-State Dental

  • General Practice Dentistry
  • Sioux City, IA
  • NPI 1821165580
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1548485634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 TOWER RD STE 100",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495449",
            "telephone_number": "605-242-7123",
            "fax_number": "605-242-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TOWER RD STE 100",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495449",
            "telephone_number": "605-242-7123",
            "fax_number": "605-242-1526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 Pierce St",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511043724",
            "country_code": "US",
            "telephone_number": "712-255-7123",
            "fax_number": "712-255-1526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISNER",
        "first_name": "AMBER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "8244",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D0835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie M Wictor, NP-C
• Troy Wilhelm
• Ashley Lin Wilson
• Paul Wilson, ATHLETIC TRAINER
• Faye M Winder, PA-C
• Seth Wolles, ATC
• John A Wolpert, M.D.
• Michael L. Wolpert, M.D.
• Paul W. Wolpert, M.D.
• Andrea Elizabeth Wood, MSPT

• Dentist in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.