Active NPI
Jamie Scott Wymann, DDS
- Dentist
- Delray BCH, FL
National Provider Identifier
1255457750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 16501
- Practice address
- 1555 S Congress Ave
Delray BCH, FL 33445 - Phone
- (561) 279-4080
- Fax
- (561) 279-4090
- NPI assigned
- Mar 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 16501 | FL | Primary |
Addresses
Primary practice location
1555 S Congress Ave
Delray BCH, FL 33445
Mailing address
1555 S Congress Ave
Delray BCH, FL 33445
Phone (561) 279-4080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 076107900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 16501 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255457750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 S CONGRESS AVE",
"city": "DELRAY BCH",
"state": "FL",
"postal_code": "33445",
"telephone_number": "561-279-4080",
"fax_number": "561-279-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 S CONGRESS AVE",
"city": "DELRAY BCH",
"state": "FL",
"postal_code": "33445",
"telephone_number": "561-279-4080",
"fax_number": "561-279-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYMANN",
"first_name": "JAMIE",
"middle_name": "SCOTT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 16501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "076107900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delray BCH, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.