Jamie S Wymann DDS PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JAMIE S WYMANN DDS PA

Practice address

5301 NW 121 Avenue
Coral Springs, FL 33076-3636

Phone

(516) 279-4080

Fax

(516) 496-1351

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Jamie Wyman

Title

Owner

Phone

(516) 279-4080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1053691485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 NW 121ST AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763636",
            "telephone_number": "516-279-4080",
            "fax_number": "516-496-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 NW 121 AVENUE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763636",
            "telephone_number": "516-279-4080",
            "fax_number": "516-496-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE S WYMANN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "WYMAN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-279-4080"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Coral Springs, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.