Robert T. Wheeler Jr., D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D27853 Issued in CA

Practice address

24400 Muirlands Blvd
Suite C
Lake Forest, CA 92630-3946

Phone

(949) 859-3822

Fax

(949) 859-3824

NPI assigned

Jun 5, 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

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.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1184663262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24400 MUIRLANDS BLVD",
            "address_2": "SUITE C",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303946",
            "telephone_number": "949-859-3822",
            "fax_number": "949-859-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24400 MUIRLANDS BLVD",
            "address_2": "SUITE C",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303946",
            "telephone_number": "949-859-3822",
            "fax_number": "949-859-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "ROBERT",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "D27853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamille Wells
• Mary Melinda Wells, OD
• Suk Kyeng Weon, LIC.AC
• Scott E West, DDS
• Western Horizon Hospice and Palliative Care, Inc.
• Wholecare Health a Professional Nursing Corporation
• Alison Joy Wight, DDS
• Kristin Wesley Williams, M.S.
• Samantha Williams
• Katherine Danielle Williamson, MD

• Oral and Maxillofacial Surgery (Dentist) in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.