Individual provider Active NPI

James N Wieland, DDS

  • General Practice Dentistry
  • Buffalo, NY
National Provider Identifier
1669691739
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043764 Issued in NY
Practice address
34 Benwood Ave
Buffalo, NY 14214-1761
Phone
(716) 986-9199
NPI assigned
Apr 25, 2007
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
16294447-0002OtherNYGHI
4014142OtherNYINDEPENDENT HEALTH
161294447OtherNYHEALTHPLEX
161294447OtherNYNOVA
000728971001OtherNYBC 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322003542 NY Practitioner - Dentist 0648581496 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043764NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Buffalo, Inc. CurrentSince Feb 14, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.