CAROL WIESE DDS
NPI 1215374335
Dentist - Pediatric Dentistry in Rapid City, SD

Q: What is Carol Wiese's NPI number?

The NPI number for Carol Wiese is 1215374335. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Q: What is Carol Wiese's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Carol Wiese was last updated on September 21, 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 May 30, 2013PECOS Enrolled

700 SHERIDAN LAKE RD., RAPID CITY, SD 57702(605) 721-6634(605) 341-5757 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 21, 2022, Sep 1, 2022 (2 updates tracked since 2022).

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About Carol Wiese Dds NPPES

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

CAROL WIESE DDS (NPI 1215374335) is an individual pediatric dentistry provider in Rapid City, South Dakota, licensed in South Dakota (D1361) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan School Of Dentistry (2013).

NPPES Registry Identity

NPI1215374335

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameCAROL WIESECredential: DDS

Location Address700 SHERIDAN LAKE RD.Rapid City, SD 57702

Mailing Address700 Sheridan Lake RdRapid City, SD 57702-2407 · (605) 721-6634 · Fax (605) 341-5757

Phone(605) 721-6634

Fax(605) 341-5757

Sole ProprietorNo

Medical School CMSUniversity Of Michigan School Of DentistryGraduated 2013

Enumeration DateMay 30, 2013

Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2022

✔ NPI 1215374335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in SD · D1361

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2901020964 (MI)

700 SHERIDAN LAKE RD., Rapid City, SD 57702

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol Wiese Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608197447

PECOS Enrollment IDI20260427002117

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57702 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

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.

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 Carol Wiese's NPI number?

The NPI number for Carol Wiese is 1215374335. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Where is Carol Wiese located?

Carol Wiese practices at 700 Sheridan Lake Rd., Rapid City, SD 57702. The listed phone number is (605) 721-6634.

What is Carol Wiese's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Carol Wiese enrolled in Medicare?

Yes. Carol Wiese is registered in the Medicare PECOS enrollment system.

What insurance does Carol Wiese accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana and 1 other insurer list Carol Wiese as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carol Wiese was last updated on September 21, 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.