NPIMap

Organization Active NPI

Larry F Wheeler, DDS, PC

  • Dentist
  • Tucson, AZ
National Provider Identifier
1033427273
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D01138 Issued in AZ
Legal business name
LARRY F WHEELER, DDS, PC
Practice address
5639 E 5TH St
Ste E
Tucson, AZ 85711-2443
Phone
(520) 745-0030
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Larry F Wheeler, DDS
Title
President
Phone
(520) 745-0030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D01138 AZ Primary

Addresses

Primary practice location

5639 E 5TH St
Ste E
Tucson, AZ 85711-2443

Mailing address

5639 E 5TH St
Ste E
Tucson, AZ 85711-2443
Phone (520) 745-0030

National Provider Directory

National Provider Directory

Locations

5639 E 5th St
Ste E
Tucson, AZ 85711
Phone (520) 745-0030

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1033427273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5639 E 5TH ST",
            "address_2": "STE E",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112443",
            "telephone_number": "520-745-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5639 E 5TH ST",
            "address_2": "STE E",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112443",
            "telephone_number": "520-745-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY F WHEELER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-745-0030",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D01138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.