MICHAEL THOMAS WIERNICKI
NPI 1356813869
Dentist - Orthodontics and Dentofacial Orthopedics in Winter Haven, FL

Active since December 21, 2018Opted out of Medicare · through Mar 1, 2027
1074 SPRING LAKE PLAZA, WINTER HAVEN, FL 33881(561) 289-4374 Get Directions Write a Review

NPPES record last updated: December 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Thomas Wiernicki NPPES

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

MICHAEL THOMAS WIERNICKI (NPI 1356813869) is an individual orthodontics and dentofacial orthopedics provider in Winter Haven, Florida, licensed in Florida (22302) and active in the NPI registry since December 2018. He has opted out of Medicare through March 1, 2027.

NPPES Registry Identity

NPI1356813869
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameMICHAEL THOMAS WIERNICKI
Location Address1074 SPRING LAKE PLAZAWinter Haven, FL 33881
Mailing Address5717 Trace Meadow Loop Apt 304Riverview, FL 33578-2625
Sole ProprietorNo
Enumeration DateDecember 21, 2018
NPI 1356813869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in FL · 22302
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1074 SPRING LAKE PLAZA, Winter Haven, FL 33881

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Michael Thomas Wiernicki has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 1, 2019 through March 1, 2027.

Opt-Out Effective DateMarch 1, 2019
Opt-Out In Effect ThroughMarch 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Michael Wiernicki's NPI number?

The NPI number for Michael Wiernicki is 1356813869. It was assigned to this individual provider in the NPPES registry on December 21, 2018.

Where is Michael Wiernicki located?

Michael Wiernicki practices at 1074 Spring Lake Plaza, Winter Haven, FL 33881. The listed phone number is (561) 289-4374.

What is Michael Wiernicki's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Michael Wiernicki enrolled in Medicare?

No. Michael Wiernicki has opted out of Medicare through March 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Michael Wiernicki accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Michael Wiernicki 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 Michael Wiernicki was last updated on December 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.