John Wheeler

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2460 Issued in AR

Practice address

8700 S 36TH Ter
Fort Smith, AR 72908-8797

Phone

(479) 646-1979

NPI assigned

Dec 14, 2006

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)

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.

• Modern Dental Professionals-Smith PA

  • General Practice Dentistry
  • Pine Bluff, AR
  • NPI 1538232566
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164584546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 S 36TH TER",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088797",
            "telephone_number": "479-646-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 S 36TH TER",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088797",
            "telephone_number": "479-646-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Arkansas Plastic & Reconstructive Surgery Center
• Western Arkansas Surgical Center
• Brett D Whatcott, DO
• Wheeler Avenue Operating LLC
• Danielle E Wheeler, LPC, LMFT
• John C Whitaker, MD
• Nicholas Taylor Whitaker, QBHP
• Thurithabhani Udathari Whitaker, CRNA
• Autumn Nichole White, QBHP
• Christina White

• General Practice Dentistry in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• General Practice Dentistry in Arkansas

• 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.