Wiesemann Orthodontics Inc. PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8503 Issued in TN

Legal business name

WIESEMANN ORTHODONTICS INC. PC

Practice address

894 Fred Lively Rd
Bowling Green, KY 42104-7424

Phone

(616) 325-4677

NPI assigned

May 31, 2011

Last updated

May 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan B. Wiesemann, DMD,MSNPI 1235286105

Title

Orthodontists/Owner

Phone

(615) 325-4677

Specialties & licenses 1

Addresses

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.

• Ryan Wiesemann, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • White House, TN
  • NPI 1235286105
  Authorized official Same address or phone

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1740574458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 WEST DR",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371889294",
            "telephone_number": "615-325-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 FRED LIVELY RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047424",
            "telephone_number": "616-325-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIESEMANN ORTHODONTICS INC. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "WIESEMANN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ORTHODONTISTS/OWNER",
        "authorized_official_telephone_number": "615-325-4677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "8503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Whittaker, PT, DPT
• Mazie Whobrey, APRN
• Savannah Elizabeth Whyte
• Sarah Widener, RD
• Timothy Wierson, M.D.
• Wiggins Drugs Limited (King Home Care Bowling Green)
• William Wiggins, DO
• Rita Diane Wigginton, RPH, PHARMD, MHA
• Joelle Wildman, CCC-SLP
• Melisa Wiley

• Orthodontics and Dentofacial Orthopedics Dentistry in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.