Active NPI
Larry F Wheeler, DDS
- General Practice Dentistry
- Tucson, AZ
National Provider Identifier
1326039082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1138
- Practice address
- 5639 E 5TH St
Suite E&F
Tucson, AZ 85711-2443 - Phone
- (520) 745-0030
- Fax
- (520) 747-2054
- NPI assigned
- Nov 2, 2005
- Last updated
- Sep 22, 2010
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1138 | AZ | Primary |
Addresses
Primary practice location
5639 E 5TH St
Suite E&F
Tucson, AZ 85711-2443
Mailing address
5639 E 5TH St
Suite E&F
Tucson, AZ 85711-2443
Phone (520) 745-0030
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1138 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Artistic Dentistry LLC | General Practice | Past | Accepting new patients |
| Michael J Killebrew DDS & Associates PLLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Tucson, AZ
- NPI 1033427273
-
- General Practice Dentistry
- Tucson, AZ
- NPI 1033503859
-
dba Michael Killebrew
- Dental Clinic/Center
- Tucson, AZ
- NPI 1710001797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1326039082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5639 E 5TH ST",
"address_2": "SUITE E&F",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112443",
"telephone_number": "520-745-0030",
"fax_number": "520-747-2054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5639 E 5TH ST",
"address_2": "SUITE E&F",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112443",
"telephone_number": "520-745-0030",
"fax_number": "520-747-2054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "LARRY",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "1138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.