Joseph J Wigley, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN28084 Issued in FL

Practice address

914 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4704

Phone

(772) 334-4004

NPI assigned

Jun 19, 2023

Last updated

Jun 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jensen Beach Dental Center

  • General Practice Dentistry
  • Jensen Beach, FL
  • NPI 1194812354
  NPD (past)

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1235814245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NW ALICE ST",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349576002",
            "telephone_number": "772-692-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 NE JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574704",
            "telephone_number": "772-334-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGLEY",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Counseling & Residential Detoxification Services
• Carol Dawn Westfall, PHARM. D.
• Michael Christopher Wetzel, DC
• John R Whalen, MS
• Christopher J Wigley, D.M.D., F.A.G.D.
• Craig S Willert, M.D.
• Gail Elaine Williamson, AU.D.
• Tatyana B Wolfe, RPH
• Caleb Lucas Youngblood, DPT
• Abigail Elizabeth Yungvirt

• General Practice Dentistry in Jensen Beach, FL
• Providers in Jensen Beach, 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 Jun 19, 2023; 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.