Cassandra Lynn Wieczerza, DDS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

2901600750 Issued in MI

Practice address

9625 Prominent PT Ste 100
Colorado Springs, CO 80924-5005

Phone

(719) 666-3579

NPI assigned

Jul 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Cassandra Lynn Webster Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Prominent Point Dental Group and Orthodontics, LLP

  dba Prominent Point Dental Group and Orthodontics

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1700020104
  NPD (past)

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687564800000",
    "number": "1588017883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 PROMINENT PT STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809245005",
            "telephone_number": "719-495-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 PROMINENT PT STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809245005",
            "telephone_number": "719-666-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECZERZA",
        "first_name": "CASSANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2023-06-24",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "2901600750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "WEBSTER",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Wickizer, PSY.D
• Michelle M Wickliff
• Cindy L Wickline, MD
• Cathryn Michiko Widiger
• Pam Wiebelhaus, MS, LPC, LAC
• Lauren Elizabeth Wieczorek, FNP-C
• Curt W Wiedey, LCSW
• David Allen Wiegmann, MD
• Sarah Wiehe, DPT
• Alexis Wielt

• Student in an Organized Health Care Education/Training Program in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Student in an Organized Health Care Education/Training Program in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2023; 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.