Jeffrey Craig Wight, DDS

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

D07838 Issued in AZ

Practice address

4135 S Power Rd Ste 101
Mesa, AZ 85212-3625

Phone

(480) 588-2188

Fax

(480) 588-2116

NPI assigned

Jan 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Loma Linda University School of Dentistry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jeffrey C Wight DDS PLLC

  • Orofacial Pain Dentistry
  • Mesa, AZ
  • NPI 1174241053
  Medicare reassignment Authorized official
• Stephen J Harkins DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Tucson, AZ
  • NPI 1740361559
  Medicare reassignment NPD
• CFDC, LLC

  dba Coolidge Family Dental Care

  • General Practice Dentistry
  • Coolidge, AZ
  • NPI 1952630188
  NPD (past)
• Every Smile Mesa, LLC

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1023468899
  NPD (past)

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1043541907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123625",
            "telephone_number": "480-588-2188",
            "fax_number": "602-992-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123625",
            "telephone_number": "480-588-2188",
            "fax_number": "480-588-2116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10214 N Tatum Blvd Ste A1100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850284243",
            "country_code": "US",
            "telephone_number": "602-992-1486",
            "fax_number": "602-992-6604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGHT",
        "first_name": "JEFFREY",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "7838",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D07838",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "D07838",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": "AZ",
            "license": "D07838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Wieland, LISAC
• Kristan Kay Wiemann, RN
• Belinda Wiens, M.C., LPC
• Harry Jake Wiens, MD
• Thomas Bryan Wiggins Jr., CSA
• Ryan E Wight, CRNA
• Rebecca Wigton, MA, LPC
• Kimberly Wihtol, OTR/L
• Alina Wilaszek
• Stephen Wilbur, STEPHEN WILBUR

• Orofacial Pain Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Orofacial Pain Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.