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DR. KENNETH WIEDER D.D.S.
NPI 1346300787
Dentist - Oral and Maxillofacial Surgery in New York, NY

Active since December 08, 2006PECOS Enrolled
3915 BROADWAY, NEW YORK, NY 10032(212) 567-5536(212) 202-6447 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Wieder D.d.s. NPPES

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

DR. KENNETH WIEDER D.D.S. (NPI 1346300787) is an individual oral and maxillofacial surgery provider in New York, New York, licensed in New York (055352-1) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346300787
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. KENNETH WIEDERCredential: D.D.S.
Location Address3915 BROADWAYNew York, NY 10032-1565
Mailing Address3915 BroadwayNew York, NY 10032-1565 · (212) 567-5536 · Fax (212) 202-6447
Phone(212) 567-5536
Fax(212) 202-6447
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateDecember 13, 2013
✔ NPI 1346300787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in NY · 055352-1✔ Licensed in FL · DRP447
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3915 BROADWAY, New York, NY 10032
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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.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)

Dr. Kenneth Wieder 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 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

KATHLEEN N HOFMANN DDS
Dentist (General Practice)
3915 BROADWAY
NEW YORK, NY 10032
New York County (347) 590-9910
DR. MCKINLEY L PRICE II DDS
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
DR. BRADLEY ADAM HIRSCH DMD
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
DR. JONATHAN D. PONG DMD
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
MIMI JOONYOUNG LEE DDS, MD
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
DR. JESAL VIRENDRA SHAH D.M.D., MD
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
DR. JANET C BODEY D.D.S.
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536
DR. MOHAMMAD W RABAH D.M.D
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
New York County (212) 567-5536

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 Kenneth Wieder's NPI number?

The NPI number for Kenneth Wieder is 1346300787. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Kenneth Wieder located?

Kenneth Wieder practices at 3915 Broadway, New York, NY 10032. The listed phone number is (212) 567-5536.

What is Kenneth Wieder's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kenneth Wieder enrolled in Medicare?

Yes. Kenneth Wieder is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Wieder accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kenneth Wieder 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 Kenneth Wieder was last updated on December 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.