MR. CHAD RYAN WIERSEMA DDS NPI 1427114115

NPI Information

  • NPI: 1427114115
  • Provider Name: MR. CHAD RYAN WIERSEMA, DDS
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18130 HALSTED ST
    HOMEWOOD, IL
    ZIP 60430
  • Phone: (708) 799-2550

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NPI Details

MR. Chad Ryan Wiersema, DDS is an endodontics dentist in Homewood, IL. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. MR. Chad Ryan Wiersema, DDS NPI is 1427114115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18130 HALSTED ST
HOMEWOOD, IL
ZIP 60430-507
Phone: (708) 799-2550

The NPI 1427114115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 12/28/2006 and was last updated on 3/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist019026244ILLINOISNo
2122300000XDentist12010886AINDIANANo
31223E0200XDentistEndodontics021002195ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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