NPIMap

Organization Active NPI

Phillip a Wienczewski PLLC

  • Dentist
  • Tawas City, MI
National Provider Identifier
1790963312
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9807 Issued in MI
Legal business name
PHILLIP A WIENCZEWSKI PLLC
Practice address
671 E M 55
Tawas City, MI 48763
Phone
(989) 984-0560
Fax
(989) 984-0562
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Dr. Phillip Allen Wienczewski, DDS
Title
Owner
Phone
(989) 984-0560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9807 MI Primary

Addresses

Primary practice location

671 E M 55
Tawas City, MI 48763

Mailing address

671 E M 55
Tawas City, MI 48763
Phone (989) 984-0560

National Provider Directory

National Provider Directory

Locations

671 E M 55
Tawas City, MI 48763
Phone (989) 984-0560

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1790963312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 E M 55",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "48763",
            "telephone_number": "989-984-0560",
            "fax_number": "989-984-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 E M 55",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "48763",
            "telephone_number": "989-984-0560",
            "fax_number": "989-984-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP A WIENCZEWSKI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "WIENCZEWSKI",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-984-0560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "9807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tawas City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.