Active NPI
James N Wieland, DDS
- General Practice Dentistry
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 043764
- Practice address
- 34 Benwood Ave
Buffalo, NY 14214-1761 - Phone
- (716) 986-9199
- NPI assigned
- Apr 25, 2007
- Last updated
- Sep 8, 2023
- 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 | 043764 | NY | Primary |
Addresses
Primary practice location
34 Benwood Ave
Buffalo, NY 14214-1761
Mailing address
34 Benwood Ave
Buffalo, NY 14214-1761
Phone (716) 986-9199
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16294447-0002 | Other | NY | GHI |
| 4014142 | Other | NY | INDEPENDENT HEALTH |
| 161294447 | Other | NY | HEALTHPLEX |
| 161294447 | Other | NY | NOVA |
| 000728971001 | Other | NY | BC BS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043764 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Buffalo, Inc. | Current | Accepting new patients |
Locations
34 Benwood Ave
Buffalo, NY 14214
Phone (716) 898-4449
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
100 Main St
Lockport, NY 14094
Phone (716) 986-9199
4947 Lockport Rd
Lockport, NY 14094
2715 Highland Ave
Niagara Falls, NY 14305
Phone (716) 278-4418
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDJFBA
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.
-
- Federally Qualified Health Center (FQHC)
- Buffalo, NY
- NPI 1790787919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1669691739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 BENWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142141761",
"telephone_number": "716-986-9199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 BENWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142141761",
"telephone_number": "716-986-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIELAND",
"first_name": "JAMES",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "043764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "16294447-0002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "4014142",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLEX",
"identifier": "161294447",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVA",
"identifier": "161294447",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "000728971001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.