Individual provider Active NPI

Wayne W Loney Jr., DDS, MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1336258151
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
20841 Issued in TX
Practice address
411 Lantern Bend Dr
Suite 210
Houston, TX 77090-2833
Phone
(281) 444-1984
Fax
(281) 586-0173
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 7961261 ID
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 61585472 WA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 20841 TX Primary

Addresses

Primary practice location

411 Lantern Bend Dr
Suite 210
Houston, TX 77090-2833

Mailing address

411 Lantern Bend Dr
Suite 210
Houston, TX 77090-2833
Phone (281) 444-1984

Other practice location 1

2807 S Stone St Ste 202
Spokane, WA 99223-4904
Phone (509) 209-9300

Other practice location 2

1701 W Prairie Ave Ste 103
Hayden, ID 83835-8421
Phone (208) 216-0373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 11, 2013 through Sep 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7961261IDMDOral and Maxillofacial Surgery (Dentist)
61585472WAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Rickheim, DDS, Ms, PLLC Oral and Maxillofacial Surgery PastSince Jun 15, 2025 Accepting new patients
I-Cats R US Past Accepting new patients
North Houston Woodlands Oral Surgical Arts Oral and Maxillofacial Surgery Past Accepting new patients
Obsidian Management Group LLC Oral and Maxillofacial Surgery PastSince Oct 17, 2021 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1336258151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 LANTERN BEND DR",
            "address_2": "SUITE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902833",
            "telephone_number": "281-444-1984",
            "fax_number": "281-586-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LANTERN BEND DR",
            "address_2": "SUITE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902833",
            "telephone_number": "281-444-1984",
            "fax_number": "281-586-0173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2807 S Stone St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992234904",
            "country_code": "US",
            "telephone_number": "509-209-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 W Prairie Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Hayden",
            "state": "ID",
            "postal_code": "838358421",
            "country_code": "US",
            "telephone_number": "208-216-0373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONEY",
        "first_name": "WAYNE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ID",
            "license": "7961261",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "61585472",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "20841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.