Kyle Wesley Wheeler, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401005293 Issued in VA

Practice address

1084 Thomas Jefferson Rd
Suite 5
Forest, VA 24551-2275

Phone

(434) 385-6398

NPI assigned

Aug 15, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Kyle W. Wheeler, DDS, PC

  • Dental Clinic/Center
  • Forest, VA
  • NPI 1548699341
  NPD (past) Authorized official

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285647677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 THOMAS JEFFERSON RD",
            "address_2": "SUITE 5",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512275",
            "telephone_number": "434-385-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 THOMAS JEFFERSON RD",
            "address_2": "SUITE 5",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512275",
            "telephone_number": "434-385-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "KYLE",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007813562",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL SMILES FOR CHILDREN",
            "identifier": "9178611",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Walgreen Co.
• Leeanna Ruth Early Warner, LPC
• Yitbarek Alayou Wedajo
• Dan E. West Jr., LPC
• Amy Zimmerman Whitlow, DO
• Kelsi Alexandra Peters Whitlow, DPM
• Danielle Whitted
• Amanda Eileen Wilkins
• Asiana Williams

• General Practice Dentistry in Forest, VA
• Providers in Forest, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.