DR. ENRIQUE GABRIEL WISMANN DMD
NPI 1710048855
Dentist in Phoenix, AZ

Active since December 13, 2006PECOS Enrolled
7600 N 15TH ST STE 170, PHOENIX, AZ 85020(602) 997-0911 Get Directions Write a Review

NPPES record last updated: April 9, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Enrique Gabriel Wismann Dmd NPPES

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

DR. ENRIQUE GABRIEL WISMANN DMD (NPI 1710048855) is an individual dentist in Phoenix, Arizona, licensed in Arizona (6905) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710048855
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ENRIQUE GABRIEL WISMANNCredential: DMD
Location Address7600 N 15TH ST STE 170Phoenix, AZ 85020-4305
Mailing Address7600 N 15th St Ste 170Phoenix, AZ 85020-4305 · (602) 997-0911
Sole ProprietorYes
Enumeration DateDecember 13, 2006
Last NPPES UpdateApril 9, 2008
NPI 1710048855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AZ · 6905
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.

7600 N 15TH ST STE 170, Phoenix, AZ 85020

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)

Dr. Enrique Gabriel Wismann Dmd 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 85020 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 2

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

Dentist (Periodontics)
7600 N 15TH ST STE 170
PHOENIX, AZ 85020
Dentist (Periodontics)
7600 N 15TH ST STE 170
PHOENIX, AZ 85020

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 Enrique Wismann's NPI number?

The NPI number for Enrique Wismann is 1710048855. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Enrique Wismann located?

Enrique Wismann practices at 7600 N 15th St Ste 170, Phoenix, AZ 85020. The listed phone number is (602) 997-0911.

What is Enrique Wismann's specialty?

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

Is Enrique Wismann enrolled in Medicare?

Yes. Enrique Wismann is registered in the Medicare PECOS enrollment system.

What insurance does Enrique Wismann accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Alabama and 12 other insurers list Enrique Wismann 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 Enrique Wismann was last updated on April 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.