Lucas James Wiebe, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

606 Issued in SD

Practice address

1110 W 5TH St
Canton, SD 57013-1543

Phone

(605) 987-2721

Fax

(605) 987-3312

NPI assigned

May 31, 2016

Last updated

May 31, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1710335708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570130009",
            "telephone_number": "605-987-2721",
            "fax_number": "605-987-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W 5TH ST",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570131543",
            "telephone_number": "605-987-2721",
            "fax_number": "605-987-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBE",
        "first_name": "LUCAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Lane Tieszen, DC
• Jonathan Toso, O.D.
• Kari Lynn Wagner
• Amy Nicole Weier, MSPT
• Frank J Whipple
• Marisa Zweifel, PHARMD

• General Practice Dentistry in Canton, SD
• Providers in Canton, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.