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MR. JOHN P WIEDERHOLT DMD
NPI 1336369073
Dentist in Madison, WI

Active since April 26, 2007PECOS Enrolled
3434 E. WASHINGTON AVE, MADISON, WI 53704(608) 443-5550(608) 443-5554 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John P Wiederholt Dmd NPPES

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

MR. JOHN P WIEDERHOLT DMD (NPI 1336369073) is an individual dentist in Madison, Wisconsin, licensed in Wisconsin (6263-15) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336369073
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. JOHN P WIEDERHOLTCredential: DMD
Location Address3434 E. WASHINGTON AVEMadison, WI 53704-4155
Mailing Address2901 W. Beltline Hwy., Ste. 120Madison, WI 53713-4226 · (608) 443-5500 · Fax (608) 441-1981
Phone(608) 443-5550
Fax(608) 443-5554
Sole ProprietorNo
Enumeration DateApril 26, 2007
Last NPPES UpdateOctober 4, 2011
✔ NPI 1336369073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in WI · 6263-15✔ Licensed in WI · 6263-015✔ Licensed in MA · 21644
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3434 E. WASHINGTON AVE, Madison, WI 53704
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc..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)

Mr. John P Wiederholt 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 53704 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 John Wiederholt's NPI number?

The NPI number for John Wiederholt is 1336369073. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is John Wiederholt located?

John Wiederholt practices at 3434 E. Washington Ave, Madison, WI 53704. The listed phone number is (608) 443-5550.

What is John Wiederholt's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is John Wiederholt enrolled in Medicare?

Yes. John Wiederholt is registered in the Medicare PECOS enrollment system.

What insurance does John Wiederholt accept?

Health plans from Delta Dental of Wisconsin, Inc. list John Wiederholt 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 John Wiederholt was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.