Organization Active NPI

Wentz Orthodontics

Doing business as Todd Z Wentz DDS MS APC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fairbanks, AK
National Provider Identifier
1598101628
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
847 Issued in AK
Legal business name
WENTZ ORTHODONTICS
Doing business as
Todd Z Wentz DDS MS APC
Practice address
701 University Ave
Fairbanks, AK 99709-3646
Phone
(907) 452-7223
Fax
(907) 452-1293
NPI assigned
May 15, 2013
Last updated
May 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Mrs. Natalie Wentz
Title
Business Manager
Phone
(907) 452-7223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 847 AK Primary

Addresses

Primary practice location

701 University Ave
Fairbanks, AK 99709-3646

Mailing address

701 University Ave
Fairbanks, AK 99709-3646
Phone (907) 452-7223

Other identifiers 1

IdentifierTypeStateIssuer
D0078MedicaidAK

Other names 1

  • Todd Z Wentz DDS MS APC Doing business as

National Provider Directory

National Provider Directory

Locations

701 University Ave
Fairbanks, AK 99709
Phone (907) 322-7223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1598101628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093646",
            "telephone_number": "907-452-7223",
            "fax_number": "907-452-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093646",
            "telephone_number": "907-452-7223",
            "fax_number": "907-452-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENTZ ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "WENTZ",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "907-452-7223",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AK",
            "license": "847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0078",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Todd Z Wentz DDS MS APC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.