Kelsi Anne Wheeler, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-5071 Issued in ID

Practice address

1420 Lincoln Way Ste 200
Coeur D Alene, ID 83814-2360

Phone

(208) 664-8283

Fax

(208) 667-0794

NPI assigned

Jul 9, 2019

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1316599558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 LINCOLN WAY STE 200",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142360",
            "telephone_number": "208-664-8283",
            "fax_number": "208-667-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 LINCOLN WAY STE 200",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142360",
            "telephone_number": "208-664-8283",
            "fax_number": "208-667-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "KELSI",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Naomi Wheatley, PA-C
• Nathan Wheatley
• Caitlin S Wheeler, MPT
• Hannah Wheeler
• Karen Diane Wheeler, PHD
• Pamela Wheeler
• Robert Wheeler
• Savannah T Wheeler, LCSW
• Kathryn Deborah Whetstone-Kelley, RD
• Whitney Ann Whitaker, NP-C

• General Practice Dentistry in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.