DR. STELLA WISNER DDS
NPI 1972796324
Dentist in San Pedro, CA

Q: What is Stella Wisner's NPI number?

The NPI number for Stella Wisner is 1972796324. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Q: What is Stella Wisner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stella Wisner was last updated on March 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 20, 2007PECOS Enrolled

1001 S SEASIDE AVE, SAN PEDRO, CA 90731(310) 732-7512(310) 732-7519 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Stella Wisner Dds NPPES

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

DR. STELLA WISNER DDS (NPI 1972796324) is an individual dentist in San Pedro, California, licensed in California (54571) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972796324

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. STELLA WISNERCredential: DDS

Location Address1001 S SEASIDE AVESan Pedro, CA 90731-7333

Mailing Address1717 W Cowles StFairbanks, AK 99701-5926 · (907) 452-8251

Phone(310) 732-7512

Fax(310) 732-7519

Sole ProprietorYes

Enumeration DateAugust 20, 2007

Last NPPES UpdateMarch 11, 2015

✔ NPI 1972796324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 54571

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.

1001 S SEASIDE AVE, San Pedro, CA 90731

Open in Google Maps ↗

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. Stella Wisner 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 90731 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

Leave this field empty