DR. MICHAELA RAE WISEMAN DDS
NPI 1740856780
Dentist - General Practice in Midlothian, TX

Q: What is Michaela Wiseman's NPI number?

The NPI number for Michaela Wiseman is 1740856780. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Q: What is Michaela Wiseman'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 Michaela Wiseman was last updated on July 22, 2022. 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.

Active since June 01, 2021PECOS Enrolled

2040 FM 633, #420, MIDLOTHIAN, TX 76065(972) 528-4802 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2022, Jun 28, 2021, Jun 14, 2021 and 1 more (4 updates tracked since 2021).

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About Dr. Michaela Rae Wiseman Dds NPPES

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

DR. MICHAELA RAE WISEMAN DDS (NPI 1740856780) is an individual general practice provider in Midlothian, Texas, licensed in Texas (38329) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740856780

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MICHAELA RAE WISEMANCredential: DDS

Location Address2040 FM 633, #420Midlothian, TX 76065

Mailing Address2040 Fm 663 Ste 420Midlothian, TX 76065-6571 · (317) 908-7278

Phone(972) 528-4802

Sole ProprietorNo

Enumeration DateJune 1, 2021

Last NPPES UpdateJuly 22, 20224 updates tracked since enumeration

NPPES CertifiedJuly 13, 2022

✔ NPI 1740856780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 38329

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TD-00-140 (NM)

2040 FM 633, Midlothian, TX 76065

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Michaela Rae Wiseman Dds 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 76065 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

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 Michaela Wiseman's NPI number?

The NPI number for Michaela Wiseman is 1740856780. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Michaela Wiseman located?

Michaela Wiseman practices at 2040 Fm 633 #420, Midlothian, TX 76065. The listed phone number is (972) 528-4802.

What is Michaela Wiseman's specialty?

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

Is Michaela Wiseman enrolled in Medicare?

Yes. Michaela Wiseman is registered in the Medicare PECOS enrollment system.

What insurance does Michaela Wiseman accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 18 other insurers list Michaela Wiseman 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 Michaela Wiseman was last updated on July 22, 2022. 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.