NPIMap

Organization Active NPI

Gary P Wheeler DDS Inc

  • General Practice Dentistry
  • Lynn, MA
National Provider Identifier
1245248194
Registry record updated Jun 20, 2008
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14804 Issued in MA
Legal business name
GARY P WHEELER DDS INC
Practice address
389 Broadway
Lynn, MA 01904
Phone
(781) 595-7953
Fax
(781) 592-6861
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Gary P Wheeler, DDS
Title
Dentist
Phone
(781) 595-7953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14804 MA Primary

Addresses

Primary practice location

389 Broadway
Lynn, MA 01904

Mailing address

389 Broadway
Lynn, MA 01904
Phone (781) 595-7953

National Provider Directory

National Provider Directory

Locations

389 Broadway
Lynn, MA 01904
Phone (781) 595-7953

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1245248194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 BROADWAY",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01904",
            "telephone_number": "781-595-7953",
            "fax_number": "781-592-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 BROADWAY",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01904",
            "telephone_number": "781-595-7953",
            "fax_number": "781-592-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY P WHEELER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-595-7953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.