DR. CASSANDRA LYNN WIECZERZA (NPI# 1588017883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588017883 |
| Entity Type | Individual |
| Full Name | DR. CASSANDRA LYNN WIECZERZA |
| Other Name | DR. CASSANDRA LYNN WEBSTER |
| Credential | DDS |
| Practice Address |
9625 Prominent Pt Ste 100 Colorado Springs CO 80924-5005 |
| Practice Telephone | 7196663579 |
| Mailing Telephone | 7194955748 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
00203933 | CO | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2202 S W S Young Dr, Killeen, TX 76543 | 5183206912 | |
| 9625 Prominent Pt Ste 100, Colorado Springs, CO 809245005 | 7196663579 |
| Street Address |
9625 PROMINENT PT STE 100 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80924-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567694 | Mackenzie Kathleen Schumborg | Dentist | 9625 Prominent Pt Ste 100, Colorado Springs, CO 80924-5005 | 2020-08-03 |
| 1184119604 | Nicholas Joseph Kaslin | Dentist | 9625 Prominent Pt Ste 100, Colorado Springs, CO 80924-5005 | 2018-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714237 | Retina Consultants of Southern Colorado P C | Ophthalmology | 10035 Pearl Pass View, Suite 110, Colorado Springs, CO 80924 | 2020-06-11 |
| 1750808200 | Melody Living Associates, LLC | Assisted Living Facility | 7600 Sand Rock Point, Colorado Springs, CO 80924 | 2017-08-25 |
| 1891156436 | Kristin Speer | Pharmacist | 5215 Mount Cutler Ct, Colorado Springs, CO 80924 | 2016-03-10 |
| 1336553874 | Roman Igorevich Krivochenitser | Ophthalmology | 9320 Grand Cordera Pkwy Ste 255, Colorado Springs, CO 80924 | 2014-06-12 |
| 1659790202 | Center At Centennial, LLC | Skilled Nursing Facility | 9208 Grand Cordera Parkway, Colorado Springs, CO 80924 | 2014-04-10 |
| 1487903076 | Flora N Dewald | Physical Therapist | 9559 Pancake Rocks Trail, Colorado Springs, CO 80924 | 2012-08-29 |
| 1760613863 | Nicole R Hartmann | Dentist | 9625 Prominent Point Suite 100, Colorado Springs, CO 80924 | 2009-08-06 |
| 1700020104 | Prominent Point Dental Group and Orthodontics, LLP | Dentist | 9625 Prominent Point, Suite 100, Colorado Springs, CO 80924 | 2009-04-29 |
| 1801087044 | James C Banich | Plastic Surgery | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924 | 2007-08-05 |
| 1275747933 | Carefree Family Medicine | Family Medicine | 9320 Grand Cordera Parkway, Suite 235, Carefree Family Medicine, Colorado Springs, CO 80924 | 2007-05-10 |
| Find all providers in zip 80924 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342640 | Union Blvd Dental Pllc | Dentist | 3920 N Union Blvd Ste 380, Colorado Springs, CO 80907-4922 | 2020-09-29 |
| 1548877608 | Elbert Dental Pllc | Dentist | 6140 Tutt Blvd Ste 140, Colorado Springs, CO 80923-3574 | 2020-09-23 |
| 1063035863 | Elbert Dental Pllc | Dentist | 6240 Woodmen Park Vw, Colorado Springs, CO 80923-2616 | 2020-05-27 |
| 1932735750 | Center Point Dental Pllc | Dentist | 5410 Powers Center Pt Ste 200, Colorado Springs, CO 80920-7148 | 2020-03-13 |
| 1881228245 | Powers Dental Specialists LLC | Dentist | 5740 N Carefree Cir Ste 150, Colorado Springs, CO 80917-2787 | 2020-02-25 |
| 1174167217 | Elbert Dental Pllc | Dentist | 6665 Delmonico Dr Ste C, Colorado Springs, CO 80919-1895 | 2019-11-01 |
| 1962059931 | Colorado Dental Professionals, LLC | Dentist | 655 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3859 | 2019-08-23 |
| 1750875019 | Steven George | Dentist | 5925 Lehman Dr Ste 2, Colorado Springs, CO 80918-3418 | 2018-06-20 |
| 1962995068 | Trenton Jeffery Platt | Dentist | 2465 Research Pkwy Ste 100, Colorado Springs, CO 80920-1089 | 2018-06-13 |
| 1710477732 | Dental Health Professionals of Colorado | Dentist | 830 Tenderfoot Hill Rd Ste 210, Colorado Springs, CO 80906-7372 | 2018-05-15 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80924 |
Please comment or provide details below to improve the information on DR. CASSANDRA LYNN WIECZERZA.
| 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.