Brian Wenk, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DE60294200 Issued in WA

Practice address

5322 Galleon Dr NE
Tacoma, WA 98422-1924

Phone

(253) 970-3390

NPI assigned

Jul 19, 2012

Last updated

Jul 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1548515117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 S 333RD ST",
            "address_2": "SUITE C100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037363",
            "telephone_number": "253-970-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 GALLEON DR NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984221924",
            "telephone_number": "253-970-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENK",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60294200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Ann Wendler, LMHC
• Daniel A Wendt, PHARM.D.
• Katherine L. Wendt, O.D.
• Edward E Weng, MD
• Alison Ranee Wenholz, MD
• Rebecca Sue Wentling, RN, ARNP
• Tanya Wenz
• Joelene Werden, D.O.
• Walter Sam Werkhoven, MSW, LICSW
• Ann Beverly Werner, OT

• Dentist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.