Active NPI
Erik Robert Wendt, DMD
- General Practice Dentistry
- Barksdale AFB, LA
National Provider Identifier
1811661929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1
- Practice address
- 1067 Twining Drive
Barksdale AFB, LA 71110-2425 - Phone
- (318) 456-6718
- NPI assigned
- Aug 3, 2021
- Last updated
- Oct 15, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1 | SC | Primary |
Addresses
Primary practice location
1067 Twining Drive
Barksdale AFB, LA 71110-2425
Mailing address
1067 Twining Dr
Barksdale AFB, LA 71110-2486
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wendt@musc.edu | MUSC College of Dental Medicine |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1811661929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1067 TWINING DR",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1067 TWINING DRIVE",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102425",
"telephone_number": "318-456-6718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDT",
"first_name": "ERIK",
"middle_name": "ROBERT",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-03",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wendt@musc.edu",
"affiliation": "Y",
"endpointDescription": "school email",
"affiliationName": "MUSC College of Dental Medicine",
"address_1": "173 Ashley Ave",
"address_2": "BSB 246",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294250001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Barksdale AFB, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.