Organization Active NPI

Justin a Wedding PSC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Owensboro, KY
National Provider Identifier
1992235089
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9548 Issued in KY
Legal business name
JUSTIN A WEDDING PSC
Doing business as
Wedding Orthodontics
Practice address
3823 Fairview Dr
Owensboro, KY 42303-2117
Phone
(270) 683-0275
Fax
(270) 683-5929
NPI assigned
Jun 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Dr. Justin Wedding, DMDNPI 1366972440
Title
Owner
Phone
(270) 683-0275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 9548 KY Primary

Addresses

Primary practice location

3823 Fairview Dr
Owensboro, KY 42303-2117

Mailing address

3823 Fairview Dr
Owensboro, KY 42303-2117
Phone (270) 683-0275

Other names 1

  • Wedding Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

3823 Fairview Dr
Owensboro, KY 42303
Phone (270) 683-0275

2816 Veach Rd
Ste 301
Owensboro, KY 42303
Phone (270) 681-2899

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1992235089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 FAIRVIEW DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032117",
            "telephone_number": "270-683-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 FAIRVIEW DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032117",
            "telephone_number": "270-683-0275",
            "fax_number": "270-683-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN A WEDDING PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2023-12-06",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "WEDDING",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-683-0275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "9548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wedding Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.