Enoch Wiesner, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011203 Issued in AZ

Practice address

34317 N Cave Creek Rd Ste 103
Cave Creek, AZ 85331-5137

Phone

(480) 595-0800

NPI assigned

Oct 1, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cave Creek Dentistry, LLP

  • General Practice Dentistry
  • Cave Creek, AZ
  • NPI 1720483423
  NPD (past)

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1649942269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34317 N CAVE CREEK RD STE 103",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315137",
            "telephone_number": "480-595-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34317 N CAVE CREEK RD STE 103",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315137",
            "telephone_number": "480-595-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESNER",
        "first_name": "ENOCH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "enoch.wiesner@pacden.com",
            "affiliation": "Y",
            "affiliationName": "Pacific Dental Services",
            "address_1": "34317 N Cave Creek Rd Ste 103",
            "city": "Cave Creek",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853315137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nanci Elizabeth Wechsler, M.A,, OTR/L
• Janet M Weir
• Well Adjusted Incorporated
• Anne Marie Wendt, FNP-C
• Christian Douglas Wiese
• Justin W Wight, M.D.
• Carmen Wilkinson, CNS
• John Robert Willcockson, M.D.
• Christopher Steven Williams, D.C.
• Jamie Dawn Williams, PHARM.D

• General Practice Dentistry in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.