Lea Davis Wheeler, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 14558 Issued in FL

Practice address

4406 S Florida Ave
Suite 29
Lakeland, FL 33813-2172

Phone

(863) 701-0234

Fax

(863) 701-7642

NPI assigned

Mar 21, 2007

Sex

Female

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

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1194841239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 S FLORIDA AVE",
            "address_2": "SUITE 29",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132172",
            "telephone_number": "863-701-0234",
            "fax_number": "863-701-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 S FLORIDA AVE",
            "address_2": "SUITE 29",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132172",
            "telephone_number": "863-701-0234",
            "fax_number": "863-701-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "LEA",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 14558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Wheaton
• Timothy H Wheaton, MSN-ED, APRN PMHNP-B
• Cheree D Wheeler-Duke, M.D.
• April Lynn Wheeler, PTA
• Kelly Wheeler
• Nicholas Wheeler, ATC
• Jana Joy Whiddon, PH.D., LMHC
• Annette Marie Whipple, APRN
• Richard E. Whisnant, M.D.
• Morgan Whitaker Smith, LPC

• General Practice Dentistry in Lakeland, FL
• Providers in Lakeland, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.