Jonathan Widdig, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

29583 Issued in TX

Practice address

859 E North Creek Dr
Sherman, TX 75092-4064

Phone

(903) 870-4867

NPI assigned

Jan 11, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Peppermint Dental-Sherman PLLC

  • Dentist
  • Sherman, TX
  • NPI 1326342205
  NPD

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

{
    "created_epoch": "1389398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1326460247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 BEAR CROSSING DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134970",
            "telephone_number": "214-505-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 E NORTH CREEK DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750924064",
            "telephone_number": "903-870-4867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6003 Dumont Ct",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "TX",
            "postal_code": "750025494",
            "country_code": "US",
            "telephone_number": "214-505-2313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIDDIG",
        "first_name": "JONATHAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-11",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29583",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "29583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitesboro Isd
• Whitewright Isd
• Megan Tally Whittington, DO
• Sarah Whitworth, OTR, OTD, CHT
• Whole Body Chiropractic - Sherman PLLC
• Cynthia J Wilbanks-Allen
• Robert J Wilcott, MD
• James Wilkins II, PHD, MS, LPC
• Katherine Wilks
• Laura Williams Thomas, PT

• Dentist in Sherman, TX
• Providers in Sherman, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.