Active NPI
Robert L Wetzel, DDS
- Dentist
- Tampa, FL
National Provider Identifier
1760858187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7215
- Practice address
- 3250 Zemke Ave
Tampa, FL 33621-5023 - Phone
- (813) 827-9400
- NPI assigned
- Aug 19, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7215 | NE | Primary |
Addresses
Primary practice location
3250 Zemke Ave
Tampa, FL 33621-5023
Mailing address
3250 Zemke Ave
Tampa, FL 33621-5023
Phone (813) 827-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 4, 2022 through Apr 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral Health Associates, S.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Green Bay, WI
- NPI 1588716468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1760858187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 ZEMKE AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336215023",
"telephone_number": "813-827-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 ZEMKE AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336215023",
"telephone_number": "813-827-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETZEL",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-19",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "7215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.