Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAIA YAEL WIESENFELD DMD
NPI 1306533534
Dentist - Pediatric Dentistry in Fairlawn, OH

Q: What is Maia Wiesenfeld's NPI number?

The NPI number for Maia Wiesenfeld is 1306533534. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Q: What is Maia Wiesenfeld'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 Maia Wiesenfeld was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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 April 18, 2023PECOS Enrolled

3523 COMMERCIAL DR, FAIRLAWN, OH 44333(330) 577-5774 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Maia Yael Wiesenfeld Dmd NPPES

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

MAIA YAEL WIESENFELD DMD (NPI 1306533534) is an individual pediatric dentistry provider in Fairlawn, Ohio, licensed in Ohio (30.027274) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306533534

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameMAIA YAEL WIESENFELDCredential: DMD

Location Address3523 COMMERCIAL DRFairlawn, OH 44333-5107

Mailing Address3523 Commercial DrFairlawn, OH 44333-5107 · (330) 577-5774

Phone(330) 577-5774

Sole ProprietorNo

Enumeration DateApril 18, 2023

Last NPPES UpdateAugust 25, 2026

NPPES CertifiedAugust 25, 2026

✔ NPI 1306533534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in OH · 30.027274

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.

3523 COMMERCIAL DR, Fairlawn, OH 44333

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maia Yael Wiesenfeld Dmd 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 44333 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 10

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

AYAH KOLEILAT DDS

Dentist (Pediatric Dentistry)