Douglas Guy Wenzen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00005884 Issued in WA

Practice address

624 S Meridian
Puyallup, WA 98371-5908

Phone

(253) 845-3301

Fax

(253) 840-1803

NPI assigned

Aug 29, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598874166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715908",
            "telephone_number": "253-845-3301",
            "fax_number": "253-840-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715908",
            "telephone_number": "253-845-3301",
            "fax_number": "253-840-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZEN",
        "first_name": "DOUGLAS",
        "middle_name": "GUY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INS",
            "identifier": "832312",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Whitney Wells, M.D.
• Margarita Nichole Wells
• Michelle Wells, LMT
• Dana Welter, M.S., CCC-SLP
• Allison A Wendt
• Julia Christine Wenzen, LMP
• Werner Chiropractic PS Inc
• Cheryl M Werner, D.C.
• Maggie I Wess
• Allison Marie Wesson

• General Practice Dentistry in Puyallup, WA
• Providers in Puyallup, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.