Active NPI
Paul B. Wiegand D.D.S., M.S.D.,PA
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Antonio, TX
National Provider Identifier
1871725739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- PAUL B. WIEGAND D.D.S., M.S.D.,PA
- Practice address
- 14801 San Pedro Ave
San Antonio, TX 78232-3708 - Phone
- (210) 495-5437
- Fax
- (210) 495-3434
- NPI assigned
- Aug 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul B Wiegand, DDS
- Title
- Owner/Dentist
- Phone
- (210) 495-5437
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
14801 San Pedro Ave
San Antonio, TX 78232-3708
Mailing address
14801 San Pedro Ave
San Antonio, TX 78232-3708
Phone (210) 495-5437
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249948800000",
"number": "1871725739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14801 SAN PEDRO AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323708",
"telephone_number": "210-495-5437",
"fax_number": "210-495-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14801 SAN PEDRO AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323708",
"telephone_number": "210-495-5437",
"fax_number": "210-495-3434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL B. WIEGAND D.D.S., M.S.D.,PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-11",
"last_updated": "2009-08-11",
"status": "A",
"authorized_official_last_name": "WIEGAND",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "210-495-5437",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.