Wheeler Dental Group Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WHEELER DENTAL GROUP INC.

Practice address

18313 Bear Valley Rd
Hesperia, CA 92345-4970

Phone

(760) 949-2241

Fax

(760) 949-1756

NPI assigned

Apr 5, 2019

Organization subpart

No

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

Authorized official

Name

Barbara N Fortin

Title

Office Manager

Phone

(760) 949-2241

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Noel Ayala

  • General Practice Dentistry
  • Hesperia, CA
  • NPI 1154977700

  General Practice

  NPD (past)
• Bryon Thomas Wheeler, DDS

  • General Practice Dentistry
  • Hesperia, CA
  • NPI 1639214885

  General Practice

  NPD (past)
• Kevin Thomas Wheeler, D.D.S.

  • General Practice Dentistry
  • Hesperia, CA
  • NPI 1942456066

  General Practice

  NPD (past)

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1174085286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18313 BEAR VALLEY RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923454970",
            "telephone_number": "760-949-2241",
            "fax_number": "760-949-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18313 BEAR VALLEY RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923454970",
            "telephone_number": "760-949-2241",
            "fax_number": "760-949-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELER DENTAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "FORTIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-949-2241"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1942456066",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Webber
• Wellness at Home Care, LLC
• Corey M Wells
• Angela Renee Welsh
• Western Dental Services, Inc.
• Bryon Thomas Wheeler, DDS
• Kevin Thomas Wheeler, D.D.S.
• Michael R Whitmore, D.O.
• Trayveon Wicker
• Jamie Leanne Wiegel, D.C.

• All providers in Hesperia, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.