DOMINIC STEVE WENZELL DMD
NPI 1063590503
Dentist - General Practice in Glendale, AZ

Q: What is Dominic Wenzell's NPI number?

The NPI number for Dominic Wenzell is 1063590503. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Dominic Wenzell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Dominic Wenzell enrolled in Medicare?

No. Dominic Wenzell has opted out of Medicare through October 5, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Dominic Wenzell was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2006Opted out of Medicare · through Oct 5, 2026

5855 W UTOPIA RD, GLENDALE, AZ 85308(623) 537-6000(623) 806-7010 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dominic Steve Wenzell Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIC STEVE WENZELL DMD (NPI 1063590503) is an individual general practice provider in Glendale, Arizona, licensed in Arizona (DO11576) and active in the NPI registry since November 2006. He has opted out of Medicare through October 5, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063590503

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDOMINIC STEVE WENZELLCredential: DMD

Location Address5855 W UTOPIA RDGlendale, AZ 85308-5251

Mailing AddressPo Box 640Girdwood, AK 99587-0640 · (907) 230-1940

Phone(623) 537-6000

Fax(623) 806-7010

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateOctober 12, 2022

NPPES CertifiedOctober 12, 2022

✔ NPI 1063590503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in AZ · DO11576✔ Licensed in OR · D8309✔ Licensed in WA · DE00009679✔ Licensed in AK · AK1116

Definition

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.

5855 W UTOPIA RD, Glendale, AZ 85308

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Other Identifiers 2

MedicaidDD54213AK

Other1533613AK · United Concordia Id Num.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dominic Steve Wenzell Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 5, 2022 through October 5, 2026.

Opt-Out Effective DateOctober 5, 2022

Opt-Out In Effect ThroughOctober 5, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM DAVID ELZA DMD

Dentist (General Practice)