Gary Brian Wiele, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13937 Issued in MO

Practice address

2821 N Ballas Rd
Ste 260
St Louis, MO 63131

Phone

(314) 475-5333

Fax

(314) 475-5334

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1790876167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD",
            "address_2": "STE 260",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-475-5333",
            "fax_number": "314-475-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD",
            "address_2": "STE 260",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-475-5333",
            "fax_number": "314-475-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIELE",
        "first_name": "GARY",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "13937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Wiegers
• Clara E Wiegman, PSYD
• Neeley Wiehadt
• Patrick Joseph Wieland
• Benjamin Robert Wiele, M.D.
• Kimberly Wiele, MD
• Deborah A Wienski, MD
• Karen Wientge
• Laurel A Wiersema Bryant, ANP
• Ann Marie Wiese, LCSW

• General Practice Dentistry in St Louis, MO
• Providers in St Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.