Wendell Keith Porter, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

10294 Issued in TX

Practice address

4206 Lowes Dr
Temple, TX 76502-3498

Phone

(254) 778-5070

NPI assigned

Oct 7, 2020

Last updated

Oct 7, 2020By the provider in NPPES

Sex

Male

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

Practice roles

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.

• Forest Trail Dental Care

  • Dental Clinic/Center
  • Temple, TX
  • NPI 1255464343
  NPD (past)
• Soh of Texas Samson Liu PLLC

  dba Forest Trail Dental Care

  • General Practice Dentistry
  • Temple, TX
  • NPI 1427520790
  NPD (past)

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1326645888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 BELLA CHARCA PKWY",
            "city": "NOLANVILLE",
            "state": "TX",
            "postal_code": "765594728",
            "telephone_number": "254-415-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 LOWES DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023498",
            "telephone_number": "254-778-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "WENDELL",
        "middle_name": "KEITH",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "10294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Porche
• Port for the Sole Podiatry PLLC
• Andrew Wade Porter, MD
• Emily Ann Porter, M.D.
• Jaylon J Porter, PT
• Tara Rachelle Porterlivesay, CPM, LM
• Juan G. Posada, M.D.
• Matthew Neal Posey
• Herman B. Poteet, MD
• Kristina Brooke Potell, PT, DPT

• Dental Hygienist in Temple, TX
• Providers in Temple, TX by specialty
• Dental Hygienist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.