Cynthia Mae Wiggins, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016962 Issued in MI

Practice address

1550 Commerce Dr
Alpha Omega Dental Center
Marquette, MI 49855-8640

Phone

(906) 225-1100

NPI assigned

Apr 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MI

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alpha Omega Dental Center PLLC

  • Dental Clinic/Center
  • Marquette, MI
  • NPI 1710093992
  Medicare reassignment NPD Authorized official
• Superior Health and Wellness PLLC

  dba Superior Health and Wellness

  • Chiropractor
  • Newberry, MI
  • NPI 1053630111
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164648200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 COMMERCE DR.",
            "address_2": "ALPHA OMEGA DENTAL CENTER",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-225-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 COMMERCE DR",
            "address_2": "ALPHA OMEGA DENTAL CENTER",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558640",
            "telephone_number": "906-225-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "CYNTHIA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "016962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE ID NO.",
            "identifier": "016962",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matt Wheat
• David White
• Tyler Ren Wickett, ATC
• Susanne Marie Wicklund, DEVELOPMENT PLAN
• Jyotish Wiertella, LMSW
• Cameron Wilcox, MD
• Louise Kay Wilcox
• Lucy Wilcox, LLP
• Christopher A Wilkinson, D.D.S.
• Ethan Kevin Willett

• General Practice Dentistry in Marquette, MI
• Providers in Marquette, MI by specialty
• General Practice Dentistry in Michigan

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.