Tyler Wenger, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30.024489 Issued in OH

Practice address

370 E Milltown Rd Ste a
Wooster, OH 44691-1280

Phone

(330) 345-5858

Fax

(330) 345-5888

NPI assigned

May 19, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1679952089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E MILLTOWN RD STE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911280",
            "telephone_number": "330-345-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E MILLTOWN RD STE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911280",
            "telephone_number": "330-345-5858",
            "fax_number": "330-345-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGER",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024489",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maylan Weltmer
• Krista J. Wenger-Lehman, MSW, LISW
• Kristin Marie Wenger, D.O.
• Mystica Eve Wenger
• Nonya Wenger
• Gretchen Lee Wengerd
• Emily B Werger, QMHS
• Bennett Werner, MD
• Elijah Wesley
• West View Manor Inc

• Dentist in Wooster, OH
• Providers in Wooster, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.