Jacob Wiesen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8212 Issued in NE

Practice address

306 S 4TH St Ste 100
Seward, NE 68434-2533

Phone

(402) 643-2931

NPI assigned

Jun 4, 2026

Last updated

Jun 4, 2026By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seward Dental Clinic LLC

  • General Practice Dentistry
  • Seward, NE
  • NPI 1982855474
  NPD (past)

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1578496972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 WOODSAGE RD",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684348113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S 4TH ST STE 100",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684342533",
            "telephone_number": "402-643-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESEN",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "8212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Lea Wallace, COTA/L
• Walmart Inc.
• Makylee Webster
• Kailey Lynn Weichel, PT, DPT
• Robert L Wergin, M.D.
• Wild Chiropractic, P.C.
• John Andrew Wild, DC
• Keith Richard Wintz, O.D.
• Holly Marie Young, ARNP
• Daylon Yount, MAT, ATC

• General Practice Dentistry in Seward, NE
• Providers in Seward, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.