Courtney Ann Wedel, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

6307 Issued in OK

Practice address

500 N Financial Ter Ste D
Mustang, OK 73064-4432

Phone

(405) 376-2072

NPI assigned

Jan 25, 2012

Sex

Female

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• John R. Ainsworth D.D.S.

  • Dentist
  • Mustang, OK
  • NPI 1962678615
  NPD (past)
• Joshua Crossley, DDS, PLLC

  • General Practice Dentistry
  • Mustang, OK
  • NPI 1235835190
  NPD (past)

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1801167663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N. FINANCIAL CENTER TERRACE",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730640000",
            "telephone_number": "405-376-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N FINANCIAL TER STE D",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644432",
            "telephone_number": "405-376-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDEL",
        "first_name": "COURTNEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alphonso Wallace III
• Heaven Walls
• Warren Eye Care Center LLC
• Marcia Ladawn Warren, OD
• Deanna Elizabeth Weaver
• Datremecious White
• Katelynn Widner
• Jennifer Chadd Wilbourn, D.D.S
• Christine Elaine Wilcox, PA-C
• Olivia Willcoxon

• Dentist in Mustang, OK
• Providers in Mustang, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.

Verify at the official NPI Registry.