Active NPI
Evan L. Wheeler, D.D.S
- General Practice Dentistry
- Fairbanks, AK
National Provider Identifier
1265569867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 860
- Practice address
- 3691 Cameron St
Suite 101
Fairbanks, AK 99709-3843 - Phone
- (907) 479-8123
- Fax
- (907) 479-0685
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 860 | OK | Primary |
Addresses
Primary practice location
3691 Cameron St
Suite 101
Fairbanks, AK 99709-3843
Mailing address
3691 Cameron Street
Suite 101
Fairbanks, AK 99709
Phone (907) 479-8123
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 |
|---|---|---|---|
| 860 | OK | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evan L. Wheeler DDS,PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Fairbanks, AK
- NPI 1538456678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265569867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3691 CAMERON STREET",
"address_2": "SUITE 101",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "99709",
"telephone_number": "907-479-8123",
"fax_number": "907-479-0685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3691 CAMERON ST",
"address_2": "SUITE 101",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997093843",
"telephone_number": "907-479-8123",
"fax_number": "907-479-0685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "EVAN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
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.