Joanna Vaughey Wales, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2071 Issued in MT

Practice address

112 W Lewis St
Livingston, MT 59047-3011

Phone

(406) 922-0881

NPI assigned

Nov 26, 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 MT

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": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1194906735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W LEWIS ST",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590473011",
            "telephone_number": "406-922-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W LEWIS ST",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590473011",
            "telephone_number": "406-922-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALES",
        "first_name": "JOANNA",
        "middle_name": "VAUGHEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J. Venable, D.D.S.
• Antonette Vincent, LMT
• Douglas P Wadle, MD
• Beverly Waldeisen, OTR/C
• Jeannette Wagner Waldron, MD
• Sarah Katherine Walton, D.D.S
• Virginia Warner, LCPC
• Cary Wasko
• Western Medical Transport
• Susan M Wicklund, M.D.

• All providers in Livingston, MT
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.