Alex David Wedige, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6001029-15 Issued in WI

Practice address

464 Water St
Prairie Du Sac, WI 53578-1127

Phone

(608) 643-3855

NPI assigned

Apr 5, 2022

Last updated

Jul 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1861133597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N WASHINGTON ST",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "535889114",
            "telephone_number": "608-588-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 WATER ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781127",
            "telephone_number": "608-643-3855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532332186",
            "country_code": "US",
            "telephone_number": "414-288-6790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEDIGE",
        "first_name": "ALEX",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001029-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W Volk, PA
• Jamie Lee Wagner, APNP
• Jill Shannon Wall, CA
• Sandra Marie Wallsch-Drury
• Eric A Warbasse, MD
• Mindy Shafer Weigel, LCSW
• Morgan C Wiener, PA
• James Franklin Williams, MSW LCSW
• Thomas William Wojta, PT
• Danielle Lane Young, PHARMD

• Dentist in Prairie Du Sac, WI
• Providers in Prairie Du Sac, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.