Individual provider Active NPI

Wesley B. Wieman

  • Pediatric Dentistry
  • Eureka, CA
National Provider Identifier
1942260252
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
21223 Issued in CA
Practice address
2787 Harris St
Suite a
Eureka, CA 95503-4807
Phone
(707) 443-6781
Fax
(707) 443-6719
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 21223 CA Primary

Addresses

Primary practice location

2787 Harris St
Suite a
Eureka, CA 95503-4807

Mailing address

2787 Harris St
Suite a
Eureka, CA 95503-4807
Phone (707) 443-6781

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

Practice roles

OrganizationSpecialtyStatusNew patients
Randall K Heckert DMD Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942260252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2787 HARRIS ST",
            "address_2": "SUITE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034807",
            "telephone_number": "707-443-6781",
            "fax_number": "707-443-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2787 HARRIS ST",
            "address_2": "SUITE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034807",
            "telephone_number": "707-443-6781",
            "fax_number": "707-443-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEMAN",
        "first_name": "WESLEY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "21223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.