JOHN R. WIENS (NPI# 1114368776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114368776 |
| Entity Type | Individual |
| Full Name | JOHN R. WIENS |
| Credential | D.D.S. |
| Practice Address |
1030 29th Ave Sw Albany OR 97321-3416 |
| Mailing Address |
Po Box 399 Albany OR 97321-0116 |
| Practice Telephone | 5419241190 |
| Mailing Telephone | 5599061984 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 62455 | CA | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D11255 | OR | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1811 Nw Kings Blvd, Corvallis, OR 973301907 | 5417580888 | 5417546628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760892293 | John Wendell Wiens | Surgery | 209 S Pine St, Newton, KS 67114-3745 | 2014-05-06 |
| Street Address |
1030 29TH AVE SW |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-3416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417149964 | Ross Paton Mitchell | Dentist | 1030 29th Ave Sw, Albany, OR 97321-3416 | 2007-08-17 |
| 1053959585 | Ross Mitchell Dmd | Dentist | 1030 29th Ave Sw, Albany, OR 97321-3416 | 2019-12-16 |
| 1194010660 | Ross P. Mitchell D.m.d., LLC | Dentist | 1030 29th Ave Sw, Albany, OR 97321-3416 | 2011-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417149964 | Ross Paton Mitchell | Dentist | 1030 29th Ave Sw, Albany, OR 97321-3416 | 2007-08-17 |
| 1669504163 | Daniel Joseph Carlon I | Dentist | 405 Kingswood Dr, Albany, GA 31707-5806 | 2007-03-10 |
| 1295870962 | Thomas P Doolittle Dds PC | Dentist | 101a Great Oaks Blvd, Albany, NY 12203 | 2007-02-21 |
| 1003950098 | Michael A Landau | Dentist | 1467 Western Ave, Albany, NY 12203-3512 | 2007-02-16 |
| 1932212057 | Carol S Rohde Dds Ms and Timothy R Rohde Dds PC | Dentist | 1503 Third Ave, Albany, GA 31707 | 2006-08-15 |
| 1528066867 | Charles Weldon Rightmer | Dentist | 1030 29th Ave. Sw, Albany, OR 97321-3498 | 2005-07-11 |
| 1053959585 | Ross Mitchell Dmd | Dentist | 1030 29th Ave Sw, Albany, OR 97321-3416 | 2019-12-16 |
| 1194010660 | Ross P. Mitchell D.m.d., LLC | Dentist | 1030 29th Ave Sw, Albany, OR 97321-3416 | 2011-06-13 |
| 1144411695 | Thomas P Doolittle | Dentist | 101a Great Oaks Blvd, Albany, NY 12203 | 2007-08-08 |
| 1851581284 | Keith Michael Aibel | Dentist | 4 Executive Park Dr, Albany, NY 12203-3718 | 2007-08-01 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.