John Philip Wahle III, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

6476 Issued in KY

Practice address

800 Rose St RM D104
University of Kentucky College of Dentistry
Lexington, KY 40536-0297

Phone

(859) 323-5655

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1184750010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST RM D104",
            "address_2": "UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360297",
            "telephone_number": "859-323-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST RM D104",
            "address_2": "UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360297",
            "telephone_number": "859-323-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLE",
        "first_name": "JOHN",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "6476",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "6476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60064763",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maxwell Joseph Wagner, MD
• Melissa Kay Wagner, LPCA
• Miriam Denise Wagner
• Blair Ellen Wagoner
• Rebekah Wahking, PHARMD, MBA
• Thomas Henry Waid, MD
• Rebekah Lynne Waikel, PHD, CGC
• Donald Wainscott II, PA-C
• Jaime A Wainscott, MSW,CSW
• Justin Kirby Wainscott, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Lexington, KY
• Providers in Lexington, KY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.