Dana Marie Wisseman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11619 Issued in OR

Practice address

2045 Madrona Ave SE # 150
Salem, OR 97302-1149

Phone

(503) 809-4784

NPI assigned

Jun 13, 2022

Last updated

Jun 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: info@oregonsmilecare.com

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1750011888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 NW DEER RUN ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303111",
            "telephone_number": "541-740-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 MADRONA AVE SE # 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021149",
            "telephone_number": "503-809-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISSEMAN",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@oregonsmilecare.com",
            "affiliation": "N",
            "endpointDescription": "Practice Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2045 Madrona Ave SE # 150",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973021149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Winwood Center for Wellness, LLC
• Rebecca Phoebe Wippert
• Jennifer Ellen Wirsig, M.D.
• Wise Compass Counseling LLC
• Megan Wise, PSYD
• Sofia Withem
• Pamela Gay Witherspoon, MD
• Daniela Marie Witt
• Martha R Witt, MS, LPC, QMHP
• Deirdre Harmony Witte, M.D.

• Dentist in Salem, OR
• Providers in Salem, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.