DR. JACLYN D WEDEMEYER DDS
NPI 1700222569
Dentist in Houston, TX

Q: What is Jaclyn Wedemeyer's NPI number?

The NPI number for Jaclyn Wedemeyer is 1700222569. It was assigned to this individual provider in the NPPES registry on May 20, 2013.

Q: What is Jaclyn Wedemeyer's specialty?

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

Q: Is Jaclyn Wedemeyer enrolled in Medicare?

No. Jaclyn Wedemeyer has opted out of Medicare through May 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Wedemeyer was last updated on May 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 May 20, 2013Opted out of Medicare · through May 17, 2028

6410 FANNIN ST, SUITE 310, HOUSTON, TX 77030(713) 823-7005 Get Directions Write a Review

NPPES record last updated: May 20, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Jaclyn D Wedemeyer Dds NPPES

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

DR. JACLYN D WEDEMEYER DDS (NPI 1700222569) is an individual dentist in Houston, Texas, licensed in Texas (28718) and active in the NPI registry since May 2013. She has opted out of Medicare through May 17, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1700222569

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JACLYN D WEDEMEYERCredential: DDS

Location Address6410 FANNIN ST, SUITE 310Houston, TX 77030-3000

Mailing Address7107 Northampton WayHouston, TX 77055-7624 · (713) 823-7005

Phone(713) 823-7005

Sole ProprietorYes

Enumeration DateMay 20, 2013

✔ NPI 1700222569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 28718

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.

6410 FANNIN ST, Houston, TX 77030

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jaclyn D Wedemeyer Dds 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 May 17, 2016 through May 17, 2028.

Opt-Out Effective DateMay 17, 2016

Opt-Out In Effect ThroughMay 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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 20

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

DR. JYOTHSNA GATTINENI M.D.

Pediatrics (Pediatric Nephrology)

6410 FANNIN ST
HOUSTON, TX 77030

Harris County (832) 325-6516

DR. ALECIA CURLENE NERO M.D.

Internal Medicine (Hematology)

6410 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-7840

EUGENIO A AGUILAR III MD PA

Clinic/Center (Ambulatory Surgical)

6410 FANNIN ST, SUITE 927
HOUSTON, TX 77030

Harris County (713) 797-0085

BELANIE G PEAVY ACNP

Nurse Practitioner (Acute Care)

6410 FANNIN ST, SUITE 1400
HOUSTON, TX 77030

Harris County (832) 325-7125

DR. NIVEDITA THAKUR M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

6410 FANNIN ST, UTPB 732
HOUSTON, TX 77030

Harris County (713) 500-7113

AMBER CHEN-GOODSPEED

Student in an Organized Health Care Education/Training Program

6410 FANNIN ST
HOUSTON, TX 77030

Harris County (832) 462-3983

OLASUNKANMI ADEYINKA M.D.

Family Medicine

6410 FANNIN ST, 250
HOUSTON, TX 77030

Harris County (832) 325-6500

KEVIN P LALLY M.D.

Surgery (Pediatric Surgery)

6410 FANNIN ST, 1400
HOUSTON, TX 77030

Harris County (832) 325-7234

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 Jaclyn Wedemeyer's NPI number?

The NPI number for Jaclyn Wedemeyer is 1700222569. It was assigned to this individual provider in the NPPES registry on May 20, 2013.

Where is Jaclyn Wedemeyer located?

Jaclyn Wedemeyer practices at 6410 Fannin St Suite 310, Houston, TX 77030. The listed phone number is (713) 823-7005.

What is Jaclyn Wedemeyer's specialty?

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

Is Jaclyn Wedemeyer enrolled in Medicare?

No. Jaclyn Wedemeyer has opted out of Medicare through May 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jaclyn Wedemeyer was last updated on May 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.