Wiseman Endodontics LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

WISEMAN ENDODONTICS LLC

Practice address

5110 W 26TH St
Sioux Falls, SD 57106-3520

Phone

(605) 205-1055

NPI assigned

Oct 9, 2020

Last updated

Oct 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Christopher Pedurand

Title

Practice Administrator

Phone

(760) 277-7877

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anne Elizabeth Wiseman, D.D.S., M.S.D.

  • Endodontics
  • Sioux Falls, SD
  • NPI 1023089596
  NPD

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1972101277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 W 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063520",
            "telephone_number": "605-205-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 W 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063520",
            "telephone_number": "605-205-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISEMAN ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "PEDURAND",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "760-277-7877"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Wipf
• Patricia S Wirtz, M.D.
• Nancy Wise-Vanderlee, PHD
• Cassandra Wise
• Makaila Wise
• Anne Elizabeth Wiseman, D.D.S., M.S.D.
• Wiswall Endodontics PC
• Andrew Thomas Wiswall, D.D.S
• Brian T Wiswall, DDS
• Laura R Withorne-Maloney, CNP

• Endodontics in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Endodontics in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.