Mra Orthodontics PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MRA ORTHODONTICS PA

Doing business as

OrthoMike Orthodontics

Practice address

12180 S Shore Blvd Ste 101
Wellington, FL 33414-6505

Phone

(561) 793-9888

NPI assigned

Dec 25, 2023

Last updated

Dec 25, 2023By 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

Michael Wiernicki, DMD MSNPI 1356813869

Title

Orthodontist

Phone

(561) 289-4374

Specialties & licenses 1

Addresses

Other names 1

• OrthoMike Orthodontics Doing business as

Locations

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.

• Michael Thomas Wiernicki

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Winter Haven, FL
  • NPI 1356813869
  NPD Authorized official

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703462400000",
    "number": "1770352346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12180 S SHORE BLVD STE 101",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146505",
            "telephone_number": "561-793-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12180 S SHORE BLVD STE 101",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146505",
            "telephone_number": "561-793-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRA ORTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-23",
        "status": "A",
        "authorized_official_last_name": "WIERNICKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "561-289-4374",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoMike Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie D Moses, M.S., CCC-SLP
• Kaylin Melissa Moss
• Motionworks Chiropractic PLLC
• Khaled M. Moustafa, M.D.
• Elexenia Moya
• Katie Alis Mucino, CCRN
• Fred Muhletaler, M.D.
• Shanmukha Sai Mukthapuram, M.D.
• Erica Muniz, APRN
• Murray & Associates Family Healthcare, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Wellington, FL
• Providers in Wellington, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; 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.