Wendy Ann Vienneau, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN23066 Issued in FL

Practice address

10950 San Jose Blvd Ste 64
Jacksonville, FL 32223-6671

Phone

(904) 260-4244

NPI assigned

Oct 9, 2015

Sex

Female

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Coast Dental P.a.

  • Dentist
  • Jacksonville, FL
  • NPI 1326614629
  NPD (past)
• Coast Dental P.a.

  • Dentist
  • Tampa, FL
  • NPI 1992803860
  NPD (past)
• Summit Dental Associates

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1073783445
  NPD (past)
• Summit Dental Health - Center LLC

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1275941734
  NPD (past)

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942671433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 S 35TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071307",
            "telephone_number": "402-212-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 SAN JOSE BLVD STE 64",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236671",
            "telephone_number": "904-260-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5321 Center St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681062338",
            "country_code": "US",
            "telephone_number": "402-551-2238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIENNEAU",
        "first_name": "WENDY",
        "middle_name": "ANN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7256",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Junie Victor
• Victory Is Ourz Companion & Homemaker Agency LLC
• Cristina Vida, PHARMD
• Andrew Viegas, PHARMD
• Cheyla M Viego Campo
• Misgledy Viera
• Viviana Viera, AP
• Monica Vieth, OD
• Vigeo Ergo Consulting LLC
• Isabella Vignali, DC

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.