Active NPI
Robert Ignace Wier, ROBERT WIER
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1659415180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Practice address
- 4720 N Lincoln Ave
Chicago, IL 60625-2010 - Phone
- (773) 334-2150
- Fax
- (773) 334-0490
- NPI assigned
- Feb 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Primary |
Addresses
Primary practice location
4720 N Lincoln Ave
Chicago, IL 60625-2010
Mailing address
4720 N Lincoln Ave
Chicago, IL 60625-2010
Phone (773) 334-2150
Other names 1
- Dr. Robert Ignace Wier
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 |
|---|---|---|---|
| 019012821 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert I. Wier DDS, LTD | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1902940430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659415180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252010",
"telephone_number": "773-334-2150",
"fax_number": "773-334-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252010",
"telephone_number": "773-334-2150",
"fax_number": "773-334-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIER",
"first_name": "ROBERT",
"middle_name": "IGNACE",
"name_prefix": "Dr.",
"credential": "ROBERT WIER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "WIER",
"middle_name": "IGNACE",
"prefix": "DR.",
"credential": "ROBERT I. WIER DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- 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.