Timothy D Wezeman DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4813 Issued in WA

Legal business name

TIMOTHY D WEZEMAN DDS PC

Practice address

926 E Whidbey Ave
Oak Harbor, WA 98277-2674

Phone

(360) 679-1581

Fax

(360) 679-4818

NPI assigned

Feb 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Timothy D Wezeman, DDSNPI 1982717591

Title

Owner

Phone

(360) 679-1581

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Timothy David Wezeman, DENTIST DDS

  • General Practice Dentistry
  • Oak Harbor, WA
  • NPI 1982717591
  NPD (past) Authorized official
• Timothy L Wezeman, DDS

  • Dentist
  • Kansas City, MO
  • NPI 1659536217
  NPD (past)

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1992944698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 E WHIDBEY AVE",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772674",
            "telephone_number": "360-679-1581",
            "fax_number": "360-679-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 E WHIDBEY AVE",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772674",
            "telephone_number": "360-679-1581",
            "fax_number": "360-679-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY D WEZEMAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "WEZEMAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-679-1581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "4813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4813",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Marie Threats
• Thrifty Payless Inc
• David Mark Thuet, D.D.S.
• Jon R Tiessen, DPM
• Katina Katina Tilghman
• Jennifer Tiznado Alvarado, RN
• Alexandra Dianne Tomei, LBA, BCBA
• Richard Ryan Tomlinson, IDC
• Jaymi Torres-Brooks
• Total Renal Care Inc

• Dental Clinic/Center in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.