Organization Active NPI

C. Michael Wise D.D.S., P.a.

  • Dental Clinic/Center
  • Searcy, AR
National Provider Identifier
1134725633
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
C. MICHAEL WISE D.D.S., P.A.
Practice address
333 E Market Ave
Searcy, AR 72143-5429
Phone
(501) 268-8634
Fax
(501) 268-8652
NPI assigned
Dec 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Dr. Charles M Wise, DDSNPI 1679622047
Title
DDS
Phone
(501) 268-8634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

333 E Market Ave
Searcy, AR 72143-5429

Mailing address

333 E Market Ave
Searcy, AR 72143-5429
Phone (501) 268-8634

Other names 1

  • C. Michael Wise, Family Dentistry Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1134725633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E MARKET AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435429",
            "telephone_number": "501-268-8634",
            "fax_number": "501-268-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E MARKET AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435429",
            "telephone_number": "501-268-8634",
            "fax_number": "501-268-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. MICHAEL WISE D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "501-268-8634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C. Michael Wise, Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.