Active NPI
Wentz Orthodontics
Doing business as Todd Z Wentz DDS MS APC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fairbanks, AK
National Provider Identifier
1598101628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 847
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0078 | Medicaid | AK |
Other names 1
- Todd Z Wentz DDS MS APC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fairbanks, AK
- NPI 1386792463
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.