Individual provider Active NPI

David Wiegand, OP/L

  • Prosthetist
  • Nashville, TN
National Provider Identifier
1679979249
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
PRO034 Issued in TN
Practice address
501 Saddle Dr
Nashville, TN 37221-1905
Phone
(615) 891-0104
NPI assigned
Nov 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X ORT045 TN
Prosthetist 224P00000X PRO034 TN Primary

Addresses

Primary practice location

501 Saddle Dr
Nashville, TN 37221-1905

Mailing address

501 Saddle Dr
Nashville, TN 37221-1905
Phone (615) 891-0104

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

LicenseStateTypeSpecialty
ORT045TNMDOrthotist
PRO034TNMDProsthetist

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1679979249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SADDLE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372211905",
            "telephone_number": "615-891-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SADDLE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372211905",
            "telephone_number": "615-891-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGAND",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "OP/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TN",
            "license": "ORT045",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TN",
            "license": "PRO034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.