Active NPI
Abigail Michele Wieland
- Orthodontics and Dentofacial Orthopedics Dentistry
- East Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 019035637
- Practice address
- 3800 Archer Dr
East Moline, IL 61244-3757 - Phone
- (309) 751-3080
- NPI assigned
- Jun 15, 2022
- Last updated
- Jul 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D-10004 | IA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 019035637 | IL | Primary |
Addresses
Primary practice location
3800 Archer Dr
East Moline, IL 61244-3757
Mailing address
3800 Archer Dr
East Moline, IL 61244-3757
Phone (309) 751-3080
Other practice location 1
3475 Jersey Ridge Rd
Davenport, IA 52807-2293
Phone (563) 359-5510
Other practice location 2
801 Newton Rd
Iowa City, IA 52242-1001
Phone (319) 335-7440
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
| License | State | Type | Specialty |
|---|---|---|---|
| D-10004 | IA | MD | General Practice Dentistry |
| 019035637 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wieland Orthodontics, PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
3800 Archer Dr
East Moline, IL 61244
Phone (309) 721-2451
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- East Moline, IL
- NPI 1275320442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1639809262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 ARCHER DR",
"city": "EAST MOLINE",
"state": "IL",
"postal_code": "612443757",
"telephone_number": "309-751-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 ARCHER DR",
"city": "EAST MOLINE",
"state": "IL",
"postal_code": "612443757",
"telephone_number": "309-751-3080"
}
],
"practiceLocations": [
{
"address_1": "3475 Jersey Ridge Rd",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528072293",
"country_code": "US",
"telephone_number": "563-359-5510",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 Newton Rd",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421001",
"country_code": "US",
"telephone_number": "319-335-7440",
"fax_number": "319-335-7451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIELAND",
"first_name": "ABIGAIL",
"middle_name": "MICHELE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-15",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "D-10004",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": "019035637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.