Individual provider Active NPI

Whitney R Wauligman, DDS

  • General Practice Dentistry
  • Addyston, OH
National Provider Identifier
1063850469
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30 023955 Issued in OH
Practice address
7 South Road
Addyston, OH 45001
Phone
(513) 662-4242
NPI assigned
Jun 6, 2013
Last updated
May 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30 023955 OH Primary

Addresses

Primary practice location

7 South Road
Addyston, OH 45001

Mailing address

PO Box 489
Addyston, OH 45001-0489
Phone (513) 662-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20150409000899 OH Order and Referring Only - DentistPractitioner - Dentist 5395061774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30 023955OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
W R Wauligman DDS Inc General Practice CurrentSince Dec 17, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1063850469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "ADDYSTON",
            "state": "OH",
            "postal_code": "450010489",
            "telephone_number": "513-662-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SOUTH ROAD",
            "city": "ADDYSTON",
            "state": "OH",
            "postal_code": "45001",
            "telephone_number": "513-662-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAULIGMAN",
        "first_name": "WHITNEY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2024-05-02",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30 023955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addyston, OH

Sources for this page

Verify at the official NPI Registry.