THAMER WISAM
NPI 1396412151
Dentist - General Practice in North Chesterfield, VA

Active since August 27, 2021PECOS Enrolled
30 COURTHOUSE RD, NORTH CHESTERFIELD, VA 23236(804) 794-2026 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thamer Wisam NPPES

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

THAMER WISAM (NPI 1396412151) is an individual general practice provider in North Chesterfield, Virginia, licensed in Virginia (0401417688) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396412151
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTHAMER WISAM
Location Address30 COURTHOUSE RDNorth Chesterfield, VA 23236-3124
Mailing Address30 Courthouse RdNorth Chesterfield, VA 23236-3124 · (804) 794-2026
Sole ProprietorYes
Enumeration DateAugust 27, 2021
NPPES CertifiedAugust 27, 2021
NPI 1396412151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VA · 0401417688
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.
30 COURTHOUSE RD, North Chesterfield, VA 23236

Accepted 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)

Thamer Wisam 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 23236 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 3

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

Clinic/Center (Dental)
30 COURTHOUSE RD
RICHMOND, VA 23236
Dentist (General Practice)
30 COURTHOUSE RD
NORTH CHESTERFIELD, VA 23236
Dentist (Orthodontics and Dentofacial Orthopedics)
30 COURTHOUSE RD
RICHMOND, VA 23236

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 Thamer Wisam's NPI number?

The NPI number for Thamer Wisam is 1396412151. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Where is Thamer Wisam located?

Thamer Wisam practices at 30 Courthouse Rd, North Chesterfield, VA 23236. The listed phone number is (804) 794-2026.

What is Thamer Wisam's specialty?

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

Is Thamer Wisam enrolled in Medicare?

Yes. Thamer Wisam is registered in the Medicare PECOS enrollment system.

What insurance does Thamer Wisam 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 6 other insurers list Thamer Wisam 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 Thamer Wisam was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.