Organization Active NPI

Wyoming Dental Associates

  • Dentist
  • Wyoming, MI
National Provider Identifier
1710909767
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14166 Issued in MI
Legal business name
WYOMING DENTAL ASSOCIATES
Practice address
1621 44TH St SW
Wyoming, MI 49509-4387
Phone
(616) 532-9003
Fax
(616) 532-7197
NPI assigned
Jul 25, 2006
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Dr. Dean Lawrence Weber, D.D.S.NPI 1447438775
Title
Dentist
Phone
(616) 532-9003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14166 MI Primary

Addresses

Primary practice location

1621 44TH St SW
Wyoming, MI 49509-4387

Mailing address

1621 44TH St SW
Wyoming, MI 49509-4387
Phone (616) 532-9003

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1710909767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 44TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094387",
            "telephone_number": "616-532-9003",
            "fax_number": "616-532-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 44TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094387",
            "telephone_number": "616-532-9003",
            "fax_number": "616-532-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "616-532-9003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "14166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.