RICHARD W. WIEDEMAN, DDS, PA
NPI 1124290218
Dentist - General Practice in Black Mountain, NC

Active since March 28, 2008
15 JANE JACOBS RD, SUITE 201, BLACK MOUNTAIN, NC 28711(828) 210-7051(828) 210-7052 Get Directions Write a Review

NPPES record last updated: July 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard W. Wiedeman, Dds, Pa NPPES

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

RICHARD W. WIEDEMAN, DDS, PA (NPI 1124290218) is a healthcare organization registered as a general practice in Black Mountain, North Carolina and active in the NPI registry since March 2008. The organization lists Richard William Wiedeman, President, as its authorized official.

NPPES Registry Identity

NPI1124290218
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRICHARD W. WIEDEMAN, DDS, PA
Location Address15 JANE JACOBS RD, SUITE 201Black Mountain, NC 28711-6306
Mailing Address15 Jane Jacobs Rd, Suite 201Black Mountain, NC 28711-6306 · (828) 210-7051 · Fax (828) 210-7052
Fax(828) 210-7052
Organization SubpartNo
Authorized OfficialRichard William WiedemanPresident · (828) 210-7051
Enumeration DateMarch 28, 2008
Last NPPES UpdateJuly 29, 2013
NPI 1124290218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · NC7085
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.
15 JANE JACOBS RD, Black Mountain, NC 28711

Other Identifiers 1

Medicaid89012MJNC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

Physical Therapist
15 JANE JACOBS RD, SUITE 202
BLACK MOUNTAIN, NC 28711
Physician Assistant
15 JANE JACOBS RD
BLACK MOUNTAIN, NC 28711
Physical Therapist (Orthopedic)
15 JANE JACOBS RD, SUITE 202
BLACK MOUNTAIN, NC 28711
Technician/Technologist (Optician)
15 JANE JACOBS RD, SUITE 103A
BLACK MOUNTAIN, NC 28711
Eyewear Supplier
15 JANE JACOBS RD, SUITE 103A
BLACK MOUNTAIN, NC 28711
Physical Therapist
15 JANE JACOBS RD, SUITE 202
BLACK MOUNTAIN, NC 28711
Hearing Instrument Specialist
15 JANE JACOBS RD, SUITE 202
BLACK MOUNTAIN, NC 28711
Optometrist
15 JANE JACOBS RD, SUITE 103B
BLACK MOUNTAIN, NC 28711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard W. Wiedeman, Dds, PA's NPI number?

The NPI number for Richard W. Wiedeman, Dds, PA is 1124290218. It was assigned to this organization in the NPPES registry on March 28, 2008.

Where is Richard W. Wiedeman, Dds, PA located?

Richard W. Wiedeman, Dds, PA is located at 15 Jane Jacobs Rd Suite 201, Black Mountain, NC 28711. The listed phone number is (828) 210-7051.

What is Richard W. Wiedeman, Dds, PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Richard W. Wiedeman, Dds, PA was last updated on July 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.