DR. CARLOS GUILLERMO WIESSE D.D.S.
NPI 1346257177
Dentist - General Practice in Grand Prairie, TX

Q: What is Carlos Wiesse's NPI number?

The NPI number for Carlos Wiesse is 1346257177. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Q: What is Carlos Wiesse's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carlos Wiesse was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 02, 2006PECOS Enrolled

4116 S CARRIER PKWY STE 320, GRAND PRAIRIE, TX 75052(972) 262-5522(972) 262-5549 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Carlos Guillermo Wiesse D.d.s. NPPES

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

DR. CARLOS GUILLERMO WIESSE D.D.S. (NPI 1346257177) is an individual general practice provider in Grand Prairie, Texas, licensed in Texas (15548) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346257177

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CARLOS GUILLERMO WIESSECredential: D.D.S.

Location Address4116 S CARRIER PKWY STE 320Grand Prairie, TX 75052-3243

Mailing Address4116 S Carrier Pkwy Ste 320Grand Prairie, TX 75052-3243 · (972) 262-5522 · Fax (972) 262-5549

Phone(972) 262-5522

Fax(972) 262-5549

Sole ProprietorYes

Enumeration DateAugust 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1346257177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 15548

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.

4116 S CARRIER PKWY STE 320, Grand Prairie, TX 75052

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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. Carlos Guillermo Wiesse 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 75052 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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

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

HAREESHA VANUKURI

Dentist

4116 S CARRIER PKWY STE 320
GRAND PRAIRIE, TX 75052

Dallas County (972) 262-5593

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 Carlos Wiesse's NPI number?

The NPI number for Carlos Wiesse is 1346257177. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Carlos Wiesse located?

Carlos Wiesse practices at 4116 S Carrier Pkwy Ste 320, Grand Prairie, TX 75052. The listed phone number is (972) 262-5522.

What is Carlos Wiesse's specialty?

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

Is Carlos Wiesse enrolled in Medicare?

Yes. Carlos Wiesse is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carlos Wiesse was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.