Andrew Joseph Wyman, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00009127 Issued in WA

Practice address

795 NE Midway Blvd
Suite 201
Oak Harbor, WA 98277-2683

Phone

(360) 679-3585

Fax

(360) 279-8102

NPI assigned

Nov 16, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Andrew J Wyman DDS

  • General Practice Dentistry
  • Oak Harbor, WA
  • NPI 1164370995
  NPD

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295808277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 NE MIDWAY BLVD",
            "address_2": "SUITE 201",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772683",
            "telephone_number": "360-679-3585",
            "fax_number": "360-279-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 NE MIDWAY BLVD",
            "address_2": "SUITE 201",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772683",
            "telephone_number": "360-679-3585",
            "fax_number": "360-279-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMAN",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrence C. Wong, MD
• Darin Jeffrey Worley
• Traci Worthley
• Mary R Wotring, MSW
• Grace Isabelle Wright
• Yanina Chambi, DDS, PLLC
• Gina Yavelak, BCBA
• Benjamin Wayne Young Jr., D.D.S.
• David Wallace Young, PA-C
• Jessica Young

• Dentist in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Dentist in Washington

• 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.

Verify at the official NPI Registry.