OrganizationActive
Carlos Wiesse, DDS, PA
NPI 1245621523 · General Practice Dentistry · Grand Prairie, TX
Carlos Wiesse, DDS, PA is a General Practice Dentistry organization in Grand Prairie, TX (NPI 1245621523).
Provider details
- NPI number
- 1245621523
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Carlos Wiesse, Dentist(817) 649-8888
- License
- 15548 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5535 Lake Ridge Pkwy
Grand Prairie, TX 75052-8515
Phone: (817) 649-8888
Fax: (817) 649-8889
Street-level locationGet directions
Mailing address
5535 Lake Ridge Pkwy
Grand Prairie, TX 75052-8515
Registry dates
- Enumerated
- 2015-02-09
- Last updated
- 2015-02-09
Frequently asked questions
- What is Carlos Wiesse, DDS, PA's NPI number?
- Carlos Wiesse, DDS, PA's National Provider Identifier (NPI) is 1245621523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carlos Wiesse, DDS, PA?
- Carlos Wiesse, DDS, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Carlos Wiesse, DDS, PA located?
- Carlos Wiesse, DDS, PA's practice location on file with NPPES is 5535 Lake Ridge Pkwy, Grand Prairie, TX 75052-8515.
- What is Carlos Wiesse, DDS, PA's phone number?
- The practice phone number listed in the NPPES registry for Carlos Wiesse, DDS, PA is (817) 649-8888.
- Who is the authorized official for Carlos Wiesse, DDS, PA?
- The authorized official listed on Carlos Wiesse, DDS, PA's NPPES record is Carlos Wiesse, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carlos Wiesse, DDS, PA's NPI active?
- Yes — Carlos Wiesse, DDS, PA's NPI (1245621523) is active in the NPPES registry as of the last update on 2015-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.