Wheeler Family Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

D8975 Issued in OR

Legal business name

WHEELER FAMILY DENTAL, LLC

Practice address

1 SW 8TH Ave
Milton Freewater, OR 97862-1595

Phone

(541) 938-7752

Fax

(541) 938-3093

NPI assigned

Sep 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Carl Ivan Wheeler, DMDNPI 1821280173

Title

Owner/Manager

Phone

(541) 938-7752

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Carl Ivan Wheeler, DMD

  • Dentist
  • Milton Freewater, OR
  • NPI 1821280173
  NPD (past) Authorized official
• Douglas Craig Wheeler, D.M.D.

  • Dentist
  • Milton Freewater, OR
  • NPI 1861432411
  NPD (past)

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1164892329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SW 8TH AVE",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621595",
            "telephone_number": "541-938-7752",
            "fax_number": "541-938-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SW 8TH AVE",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621595",
            "telephone_number": "541-938-7752",
            "fax_number": "541-938-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELER FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "541-938-7752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Motion Physical Therapy
• Mark F Turner, DC
• Visual Eyes LLC
• Walla Walla Clinic, Inc.
• Katherine Elizabeth West, RN
• Carl Ivan Wheeler, DMD
• Douglas Craig Wheeler, D.M.D.
• Benjamin Stowe Winters, O.D.

• Dentist in Milton Freewater, OR
• Providers in Milton Freewater, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.