Individual provider Active NPI

B Harvey Wiener, DDS., MSCD., FRCD(C)

  • Endodontics
  • Fort Lauderdale, FL
National Provider Identifier
1578805495
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN7632 Issued in FL
Practice address
800 E Broward Blvd
Suite 305
Fort Lauderdale, FL 33301-2008
Phone
(954) 463-9191
Fax
(954) 463-9194
NPI assigned
Mar 18, 2013
Last updated
Mar 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN7632 FL Primary

Addresses

Primary practice location

800 E Broward Blvd
Suite 305
Fort Lauderdale, FL 33301-2008

Mailing address

800 E Broward Blvd
Suite 305
Fort Lauderdale, FL 33301-2008
Phone (954) 463-9191

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN7632FLMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
B Harvey Wiener, DDS., PA Endodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1578805495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E BROWARD BLVD",
            "address_2": "SUITE 305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012008",
            "telephone_number": "954-463-9191",
            "fax_number": "954-463-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E BROWARD BLVD",
            "address_2": "SUITE 305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012008",
            "telephone_number": "954-463-9191",
            "fax_number": "954-463-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "B",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "DDS., MSCD., FRCD(C)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN7632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.