Individual provider Active NPI

Samuel Myles Wiggins, DMD

  • General Practice Dentistry
  • Alexander City, AL
National Provider Identifier
1346694924
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6308 C1 Issued in AL
Practice address
125 Alison Dr Ste 9
Alexander City, AL 35010-4410
Phone
(256) 234-5003
NPI assigned
Apr 20, 2016
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6308 AL
General Practice Dentistry 1223G0001X 6308 C1 AL Primary

Addresses

Primary practice location

125 Alison Dr Ste 9
Alexander City, AL 35010-4410

Mailing address

125 Alison Dr Ste 9
Alexander City, AL 35010-4410
Phone (256) 234-5003

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6308ALMDGeneral Practice Dentistry
6308 C1ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brad C Litkenhous, PC General Practice Past Accepting new patients
Alexander City Dental Care, PLLC General Practice PastSince Oct 2, 2022 Accepting new patients
E Kenneth Howard Jr DMD PA General Practice PastSince Oct 2, 2022 Accepting new patients
Tyler Vermillion DMD LLC PastSince Nov 7, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1346694924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ALISON DR STE 9",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104410",
            "telephone_number": "256-234-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ALISON DR STE 9",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104410",
            "telephone_number": "256-234-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "SAMUEL",
        "middle_name": "MYLES",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6308",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6308 C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.