Organization Active NPI

Dr Wigglesworth, Inc.

  • Dental Assistant
  • Greenacres, FL
National Provider Identifier
1184032484
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
Legal business name
DR WIGGLESWORTH, INC.
Practice address
528 Waterway Village Court
Greenacres, FL 33413-0000
Phone
(602) 865-9060
NPI assigned
Jul 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Authorized official

Name
Ms. Deanna Rebecca Wigglesworth, DA
Title
Exec Director
Phone
(602) 865-9060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 126800000X Primary

Addresses

Primary practice location

528 Waterway Village Court
Greenacres, FL 33413-0000

Mailing address

PO Box 542342
Greenacres, FL 33454-0000
Phone (602) 865-9060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1184032484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542342",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334540000",
            "telephone_number": "602-865-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 WATERWAY VILLAGE COURT",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334130000",
            "telephone_number": "602-865-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WIGGLESWORTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "WIGGLESWORTH",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "602-865-9060",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DA"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.