Ben Paul Wasleske

Primary specialty

DentistTaxonomy code 122300000X

License

100161315 Issued in WI

Practice address

7207 River Trail Dr
Weston, WI 54476-7710

Phone

(715) 581-2368

NPI assigned

Jul 10, 2017

Last updated

Jul 21, 2022By the provider in NPPES

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

Other names 1

• Dr. Ben Paul Wasleske Professional name

Medicare fee-for-service enrollment

Enrolled in WI

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

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679095806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 RIVER TRAIL DR",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544767710",
            "telephone_number": "715-581-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 RIVER TRAIL DR",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544767710",
            "telephone_number": "715-581-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASLESKE",
        "first_name": "BEN",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "100161315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEN",
            "last_name": "WASLESKE",
            "middle_name": "PAUL",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amanda Marie Wade, RN
• Lisa Walder, NP
• Walgreen Co (Walgreens #09609)
• Yating Wang, M.D.
• Heidi K Warmbold, NP
• Edna G. Waterlander, CRNA
• James Stewart Watson III, M.D.
• Kristi Lynn Watters, P.T.A.
• Brian Weiland, PSY.D.
• Andrew J Weizenicker, OT

• Dentist in Weston, WI
• Providers in Weston, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.