Active NPI
Jonathan Edward Wyble, DMD
- Pediatric Dentistry
- Asheville, NC
National Provider Identifier
1003349614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 11595
- Practice address
- 247 Biltmore Ave
Asheville, NC 28801 - Phone
- (828) 350-1076
- NPI assigned
- Apr 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 11595 | NC | Primary |
Addresses
Primary practice location
247 Biltmore Ave
Asheville, NC 28801
Mailing address
120 Demko LN Apt 117
Asheville, NC 28806-3382
Phone (813) 924-6876
Other practice location 1
4031 Spruce St
Apartment 3R
Philadelphia, PA 19104-4123
Phone (813) 924-6876
Other practice location 2
10 Yorkshire St # B
Asheville, NC 28803-2752
Phone (828) 274-9220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11595 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rafael Rivera, Jr., DDS, PLLC | Past | Accepting new patients | |
| Ballance & Derose DDS PA | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1003349614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 DEMKO LN APT 117",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288063382",
"telephone_number": "813-924-6876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 BILTMORE AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "28801",
"telephone_number": "828-350-1076"
}
],
"practiceLocations": [
{
"address_1": "4031 Spruce St",
"address_2": "Apartment 3R",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044123",
"country_code": "US",
"telephone_number": "813-924-6876",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Yorkshire St # B",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288032752",
"country_code": "US",
"telephone_number": "828-274-9220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYBLE",
"first_name": "JONATHAN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-10",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "11595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.