Wightman Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5747 Issued in LA

Legal business name

WIGHTMAN FAMILY DENTAL

Practice address

2212 Paris Rd
Chalmette, LA 70043-5025

Phone

(504) 272-0870

Fax

(504) 302-9054

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark Joseph Wightman, DDSNPI 1942320007

Title

Dentist/Owner

Phone

(504) 272-0870

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Joseph Wightman, DDS

  • Dentist
  • Chalmette, LA
  • NPI 1942320007
  NPD (past) Authorized official
• Courtney W Wightman, DDS

  • General Practice Dentistry
  • Chalmette, LA
  • NPI 1801978564
  NPD (past)

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1013179746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 PARIS RD",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700435025",
            "telephone_number": "504-272-0870",
            "fax_number": "504-302-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 PARIS RD",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700435025",
            "telephone_number": "504-272-0870",
            "fax_number": "504-302-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGHTMAN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "WIGHTMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "504-272-0870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "5746",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwayne West
• Cedryell White
• Jessica May White, M.D.
• Tanisha White
• Terri Ann White, MA
• Courtney W Wightman, DDS
• Mark Joseph Wightman, DDS
• Wilkinson Family Pharmacy LLC
• Brett Alan Wilkinson, M.D.
• Keith Daniel Wilkinson, PHARMD

• General Practice Dentistry in Chalmette, LA
• Providers in Chalmette, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.