Nicholas Peter Wangler, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DD3133 Issued in NM

Practice address

3255 Greensboro Dr
Ste 101
Bismarck, ND 58503-5413

Phone

(701) 255-0469

Fax

(701) 223-3677

NPI assigned

Jun 19, 2008

Last updated

Jan 7, 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

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.

Opted out of Medicare

Previously, effective Aug 1, 2016 through Aug 1, 2026

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Dental Suite P.C.

  • Dental Clinic/Center
  • Bismarck, ND
  • NPI 1285974048
  NPD (past)

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1730340027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 GREENSBORO DR",
            "address_2": "STE 101",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035413",
            "telephone_number": "701-255-0469",
            "fax_number": "701-223-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 GREENSBORO DR",
            "address_2": "STE 101",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035413",
            "telephone_number": "701-255-0469",
            "fax_number": "701-223-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGLER",
        "first_name": "NICHOLAS",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Glenn Walz, CRNA
• Sommer Wamsley
• McKenzie Wandler
• Ashley Wangler, DDS
• Debra Wangler
• Blair K Wanner
• Brianna N Wanner, RDN, LRD
• Jacey Patricia Wanner, OTR/L
• Kaitlyn Jean Wanner, DOT
• Kay A Wanner, LRD, CDE

• Dentist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Dentist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.