Active NPI
Wesley James Arbuckle, D.D.S.
- Dentist
- Alton, IL
National Provider Identifier
1285880955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019027776
- Practice address
- 2800 College Ave
Alton, IL 62002-4742 - Phone
- (618) 474-7164
- NPI assigned
- Aug 13, 2008
- 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 | 019027776 | IL | Primary |
Addresses
Primary practice location
2800 College Ave
Alton, IL 62002-4742
Mailing address
2800 College Ave
Alton, IL 62002-4742
Phone (618) 474-7164
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 |
|---|---|---|---|
| 019027776 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261267200000",
"number": "1285880955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 COLLEGE AVE",
"city": "ALTON",
"state": "IL",
"postal_code": "620024742",
"telephone_number": "618-474-7164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 COLLEGE AVE",
"city": "ALTON",
"state": "IL",
"postal_code": "620024742",
"telephone_number": "618-474-7164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARBUCKLE",
"first_name": "WESLEY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-13",
"last_updated": "2009-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019027776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.