Active NPI
Thuy Wiesner, D.D.S
- General Practice Dentistry
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5830
- Practice address
- 385 Bert Kouns Loop Ste 700
Shreveport, LA 71106-8163 - Phone
- (318) 688-9330
- Fax
- (318) 688-1183
- NPI assigned
- Jun 13, 2007
- Last updated
- Sep 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 5830 | LA | Primary |
Addresses
Primary practice location
385 Bert Kouns Loop Ste 700
Shreveport, LA 71106-8163
Mailing address
385 Bert Kouns Loop Ste 700
Shreveport, LA 71106-8163
Phone (318) 688-9330
Other practice location 1
2557 Viking Dr
Bossier City, LA 71111-2103
Phone (318) 688-9330
Other practice location 2
1775 Jimmie Davis Hwy
Bossier City, LA 71112-4515
Phone (318) 688-9330
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5830 | LA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael R. Wiesner DDS LLC | General Practice | Current | Accepting new patients |
| A Brighter Smile | General Practice | Past | Accepting new patients |
Locations
2557 Viking Dr
Bossier City, LA 71111
Phone (318) 688-9330
385 Bert Kouns Loop
Ste 700
Shreveport, LA 71106
Phone (318) 688-9330
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba A Brighter Smile Dental Care
- General Practice Dentistry
- Shreveport, LA
- NPI 1750101606
-
- General Practice Dentistry
- Shreveport, LA
- NPI 1366822710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1922202936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 BERT KOUNS LOOP STE 700",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711068163",
"telephone_number": "318-688-9330",
"fax_number": "318-688-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 BERT KOUNS LOOP STE 700",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711068163",
"telephone_number": "318-688-9330",
"fax_number": "318-688-1183"
}
],
"practiceLocations": [
{
"address_1": "2557 Viking Dr",
"address_purpose": "LOCATION",
"city": "Bossier City",
"state": "LA",
"postal_code": "711112103",
"country_code": "US",
"telephone_number": "318-688-9330",
"fax_number": "318-688-1183",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1775 Jimmie Davis Hwy",
"address_purpose": "LOCATION",
"city": "Bossier City",
"state": "LA",
"postal_code": "711124515",
"country_code": "US",
"telephone_number": "318-688-9330",
"fax_number": "318-688-1183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIESNER",
"first_name": "THUY",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "5830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.