Active NPI
Lewis R Wayt, D.D.S.
- General Practice Dentistry
- Fort Benning, GA
National Provider Identifier
1295833903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5617
- Practice address
- 7710 Sightseeing Rd
BLDG 2826
Fort Benning, GA 31905-3764 - Phone
- (706) 544-3103
- NPI assigned
- Sep 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5617 | OK | |
| General Practice Dentistry | 1223G0001X | 5617 | OK | Primary |
Addresses
Primary practice location
7710 Sightseeing Rd
BLDG 2826
Fort Benning, GA 31905-3764
Mailing address
7710 Sightseeing Rd
BLDG 2826
Fort Benning, GA 31905-3764
Phone (706) 544-3103
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 |
|---|---|---|---|
| 5617 | OK | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1295833903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7710 SIGHTSEEING RD",
"address_2": "BLDG 2826",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "319053764",
"telephone_number": "706-544-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7710 SIGHTSEEING RD",
"address_2": "BLDG 2826",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "319053764",
"telephone_number": "706-544-3103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYT",
"first_name": "LEWIS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "5617",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "5617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Benning, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.