James Vincent Wyllie, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

652 Issued in VT

Practice address

212 Prouty Dr
Suite 1
Newport, VT 05855-9851

Phone

(802) 334-6965

Fax

(802) 334-6606

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• James V. Wyllie, DDS P.C.

  • General Practice Dentistry
  • Newport, VT
  • NPI 1760695597
  NPD Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063595668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 PROUTY DR",
            "address_2": "SUITE 1",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559851",
            "telephone_number": "802-334-6965",
            "fax_number": "802-334-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 PROUTY DR",
            "address_2": "SUITE 1",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559851",
            "telephone_number": "802-334-6965",
            "fax_number": "802-334-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLLIE",
        "first_name": "JAMES",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000-1845",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica White
• Veronica Lee Whitehill
• Stephanie Whitehouse, PHARMD
• Brenda Estelle Wierschke, R.D.
• Woundwise Healing Center, PLLC
• Elizabeth C Yasewicz, PA
• Kristi Yetsko, LADC, LCMHC
• Judy D Young, MA
• Ryan Zabinski, RD
• Wendy Zimmerman, PTA

• General Practice Dentistry in Newport, VT
• Providers in Newport, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.