DR. BRIAN A. WIEDEMER D.D.S
NPI 1730293549
Dentist - General Practice in Waianae, HI

Q: What is Brian Wiedemer's NPI number?

The NPI number for Brian Wiedemer is 1730293549. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Q: What is Brian Wiedemer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brian Wiedemer was last updated on May 15, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 18, 2006PECOS Enrolled

86-260 FARRINGTON HWY, WAIANAE, HI 96792(808) 697-3496 Get Directions Write a Review

NPPES record last updated: May 15, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Brian A. Wiedemer D.d.s NPPES

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

DR. BRIAN A. WIEDEMER D.D.S (NPI 1730293549) is an individual general practice provider in Waianae, Hawaii, licensed in Michigan (2901019234) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730293549

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRIAN A. WIEDEMERCredential: D.D.S

Location Address86-260 FARRINGTON HWYWaianae, HI 96792-3128

Mailing Address86-260 Farrington HwyWaianae, HI 96792-3128 · (808) 697-3496

Phone(808) 697-3496

Sole ProprietorNo

Enumeration DateAugust 18, 2006

Last NPPES UpdateMay 15, 2010

✔ NPI 1730293549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in MI · 2901019234✔ Licensed in HI · CSDT-38

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.

86-260 FARRINGTON HWY, Waianae, HI 96792

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Other Identifiers 2

Other19234-MIMI · Delta Dental

Medicaid4823188MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.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. Brian A. Wiedemer 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 96792 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

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.

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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.

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