Michael Erik Wygant, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61347 Issued in CA

Practice address

5301 Mission Oaks Blvd Ste B
Camarillo, CA 93012-5426

Phone

(805) 482-6389

NPI assigned

Aug 17, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sprague, Packham & Pizza Dental Corporation

  • General Practice Dentistry
  • Camarillo, CA
  • NPI 1225168156
  NPD (past)

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1134477417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 VILLAMONTE CT",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101473",
            "telephone_number": "206-669-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 MISSION OAKS BLVD STE B",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125426",
            "telephone_number": "805-482-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYGANT",
        "first_name": "MICHAEL",
        "middle_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-17",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Laurel Worthington, MS
• Ruth Wrigglesworth, RBT
• Chad M Wright, DDS, MSD
• Marc Elliott Wright, DO
• Wunderlich Balloch and Fung
• Xinfang Xiao, PH.D, O.M.D., L.AC.
• Shuai Xu
• Patricia Yabu, LCSW
• Vania Badua Yague, M.A.
• Matthew Stanley Yanovskiy, APRN

• Dentist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.