Michelle Marie Wisniewski, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

057336 Issued in NY

Practice address

1651 Oneida St
Utica, NY 13501-4866

Phone

(315) 793-7600

NPI assigned

Jun 28, 2013

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IJGHBA

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.

• Mosaic Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ilion, NY
  • NPI 1528428208
  Medicare reassignment NPD
• Mosaic Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rushville, NY
  • NPI 1336984178
  NPD
• Mosaic Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Utica, NY
  • NPI 1649587627
  NPD
• Mosaic Health Inc

  • Federally Qualified Health Center (FQHC)
  • Utica, NY
  • NPI 1134693708
  NPD (past)

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1649610122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 ONEIDA ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135014866",
            "telephone_number": "315-793-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 ONEIDA ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135014866",
            "telephone_number": "315-793-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00384309",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shwe Win, MD
• Brittie Wintle, FNP
• Catherine Ann Wintle, NP
• Mesa Sage Wisdom
• Amanda Lee Wise
• Sienna Wisse, OTR/L
• James Withers, DO
• Rochelle Marie Wnuk, RDH
• Jennifer Ann Wolak, MS, CCC-SLP
• Gregory Jay Wood

• Dentist in Utica, NY
• Providers in Utica, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.