Brianna Wiepen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2020017979 Issued in MO

Practice address

3901 S Bolger Rd
Independence, MO 64055-6779

Phone

(618) 363-8842

NPI assigned

Jul 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

State licenses

Practice roles

Locations

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.

• Aria Dental Care PC

  • Dentist
  • Overland Park, KS
  • NPI 1942977632

  MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1952929614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 OAK ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132134",
            "telephone_number": "618-363-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S BOLGER RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556779",
            "telephone_number": "618-363-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEPEN",
        "first_name": "BRIANNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2020017979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Anne Whitworth, O.D.
• Patrick Glade Whitworth, O.D.
• Susan Appleberry Widick, D.D.S.
• Erin Emily Wieland
• Heather Elayne Wieners, RPH
• Jill Elizabeth Wiese, RN, NNP-BC
• Davalene J. Wilbanks, LPC
• Newell Trigg Wilcoxon IV, LMSW
• Matthew D Wiley, DDS
• Debra Ann Wilkinson, DDS

• Dentist in Independence, MO
• Providers in Independence, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.