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DR. ANDREW THOMAS WISWALL D.D.S
NPI 1255656807
Dentist - Endodontics in Sioux Falls, SD

Active since April 06, 2010PECOS Enrolled
2333 W 57TH ST, SUITE 103, SIOUX FALLS, SD 57108(612) 208-7458 Get Directions Write a Review

NPPES record last updated: August 24, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Andrew Thomas Wiswall D.d.s NPPES

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

DR. ANDREW THOMAS WISWALL D.D.S (NPI 1255656807) is an individual endodontics provider in Sioux Falls, South Dakota, licensed in South Dakota (D0827) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255656807
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. ANDREW THOMAS WISWALLCredential: D.D.S
Location Address2333 W 57TH ST, SUITE 103Sioux Falls, SD 57108-5053
Mailing Address2333 W 57th St, Suite 103Sioux Falls, SD 57108-5053 · (612) 208-7458
Phone(612) 208-7458
Sole ProprietorNo
Enumeration DateApril 6, 2010
Last NPPES UpdateAugust 24, 2011
✔ NPI 1255656807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in SD · D0827
Definition

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.

2333 W 57TH ST, Sioux Falls, SD 57108
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Thomas Wiswall D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 57108 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.

Other Providers at the Same Location NPPES 6

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

ANDREW JON GILLEN PHARM.D.
Pharmacist
2333 W 57TH ST, STE 107
SIOUX FALLS, SD 57108
Lincoln County (605) 261-5135
KRISTIN M LOHNES PT
Physical Therapist
2333 W 57TH ST, STE 103
SIOUX FALLS, SD 57108
Lincoln County (605) 271-5640
DR. JUSTIN H WITTMAYER DPT
Physical Therapist
2333 W 57TH ST, SUITE 105
SIOUX FALLS, SD 57108
Lincoln County (605) 361-1700
PHARMACY SPECIALTIES, INC
Pharmacy (Compounding Pharmacy)
2333 W 57TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 334-1672
DR. LUCAS PAUL KRAEMER PHARM D
Pharmacist
2333 W 57TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 334-1672
WISWALL ENDODONTICS PC
Clinic/Center (Dental)
2333 W 57TH ST, STE 103
SIOUX FALLS, SD 57108
Lincoln County (605) 789-2017

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 Andrew Wiswall's NPI number?

The NPI number for Andrew Wiswall is 1255656807. It was assigned to this individual provider in the NPPES registry on April 6, 2010.

Where is Andrew Wiswall located?

Andrew Wiswall practices at 2333 W 57th St Suite 103, Sioux Falls, SD 57108. The listed phone number is (612) 208-7458.

What is Andrew Wiswall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Andrew Wiswall enrolled in Medicare?

Yes. Andrew Wiswall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Wiswall was last updated on August 24, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.