Individual provider Active NPI

Bethany Therese Wierzbicki, D.M.D., M.B.A.

  • Dentist
  • Palm City, FL
National Provider Identifier
1962993154
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN23283 Issued in FL
Practice address
3662 SW 30TH Ave Ste 3
Palm City, FL 34990-3723
Phone
(772) 217-5338
Fax
(772) 217-4599
NPI assigned
May 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN23283 FL Primary

Addresses

Primary practice location

3662 SW 30TH Ave Ste 3
Palm City, FL 34990-3723

Mailing address

3662 SW 30TH Ave Ste 3
Palm City, FL 34990-3723
Phone (772) 217-5338

Other identifiers 1

IdentifierTypeStateIssuer
1962993154OtherFLNPI

Other names 1

  • Dr. Bethany Therese Beniek Former name

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
DN23283FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Smiles Dental of the Treasure Coast, PLLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

3662 SW 30th Ave
Ste 3
Palm City, FL 34990
Phone (772) 217-5338

Networks

  • Freedom Health HMO Network

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1962993154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 SW 30TH AVE STE 3",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903723",
            "telephone_number": "772-217-5338",
            "fax_number": "772-217-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 SW 30TH AVE STE 3",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903723",
            "telephone_number": "772-217-5338",
            "fax_number": "772-217-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERZBICKI",
        "first_name": "BETHANY",
        "middle_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962993154",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "BENIEK",
            "middle_name": "THERESE",
            "prefix": "DR.",
            "credential": "D.M.D., M.B.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.