Active NPI
Stephanie Lynn Wehrle-Davies, D.D.S
- Dentist
- Monongahela, PA
National Provider Identifier
1770916017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS039649
- Practice address
- 1117 W Main St
Monongahela, PA 15063-2827 - Phone
- (724) 258-4710
- Fax
- (724) 258-4190
- NPI assigned
- Aug 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | DS039649 | PA | Primary |
Addresses
Primary practice location
1117 W Main St
Monongahela, PA 15063-2827
Mailing address
1117 W Main St
PO Box 63
Monongahela, PA 15063-2827
Phone (724) 258-4710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171205002551 | PA | Practitioner - Dentist | 9133426042 | Practice locations: Monongahela, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039649 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1770916017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 W MAIN ST",
"address_2": "PO BOX 63",
"city": "MONONGAHELA",
"state": "PA",
"postal_code": "150632827",
"telephone_number": "724-258-4710",
"fax_number": "724-258-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 W MAIN ST",
"city": "MONONGAHELA",
"state": "PA",
"postal_code": "150632827",
"telephone_number": "724-258-4710",
"fax_number": "724-258-4190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEHRLE-DAVIES",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-09",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monongahela, PA
- Janelle Vicedo Violago, M.D.
- Lesa Delanie Vivio, MS, LPC, CBIS
- Hannah Jean Wagner, DNP, FNP-C
- Brenda L Walther, MD
- Webster Chiropractic & Sports Rehabilitation, PLLC.
- West Virginia Univesity Medical Corporation
- Rachel Weston, CRNP
- Joan Romaine Wilkerson, PERSONAL CAREGIVER
- Douglas Gray Wilson, M.D.
- Erin Wilson, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.