Wyoming Cosmetic and Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1199 Issued in WY

Legal business name

WYOMING COSMETIC AND FAMILY DENTAL

Practice address

4620 Grandview Ave
Cheyenne, WY 82009-4963

Phone

(307) 635-2419

Fax

(307) 772-3443

NPI assigned

Oct 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jason N Whiting, DMD

Title

Dentist

Phone

(307) 635-2419

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Wyoming Cosmetic and Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wyoming Cosmetic and Family Dental

  • Dentist
  • Cheyenne, WY
  • NPI 1194205401
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1003069865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 GRANDVIEW AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094963",
            "telephone_number": "307-635-2419",
            "fax_number": "307-772-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 GRANDVIEW AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094963",
            "telephone_number": "307-635-2419",
            "fax_number": "307-772-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING COSMETIC AND FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "WHITING",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "307-635-2419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WY",
            "license": "1199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265421077",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wrivs Inc
• Wrivs Inc
• Andrew Wyman, RBT
• Wyo Medical Supply, LLC
• Wyoming Behavior LLC
• Wyoming Cosmetic and Family Dental
• Wyoming Department of Health
• Wyoming Em-I Medical Services PC
• Wyoming Endoscopy Center LLC
• Wyoming Hearing Clinic, LLC

• Dental Clinic/Center in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Dental Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.