Tyler Samuel Wheeler, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4008-18 Issued in MS

Practice address

14120 Dedeaux Rd
Gulfport, MS 39503-4527

Phone

(228) 832-1988

NPI assigned

Jun 26, 2018

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

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.

• Tyler S Wheeler DMD PC

  • General Practice Dentistry
  • Gulfport, MS
  • NPI 1861081879
  NPD Authorized official
• Edward S. Wheeler, DMD, PA

  • General Practice Dentistry
  • Gulfport, MS
  • NPI 1639213275
  NPD (past)

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1346735081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7456 SAINTS CIR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395649356",
            "telephone_number": "228-697-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14120 DEDEAUX RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034527",
            "telephone_number": "228-832-1988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11628 Mississippi 57 #6A",
            "address_purpose": "LOCATION",
            "city": "Vancleave",
            "state": "MS",
            "postal_code": "39565",
            "country_code": "US",
            "telephone_number": "228-641-9644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7205 MS-614",
            "address_purpose": "LOCATION",
            "city": "Hurley",
            "state": "MS",
            "postal_code": "39555",
            "country_code": "US",
            "telephone_number": "228-641-9895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "TYLER",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4008-18",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C Wessler, M.D
• Christen R Westbrook
• Raun Joseph Wetzel, M.D.
• Danielle Michelle Wheeler
• Edward S Wheeler, D.M.D.
• Hannah Whetstone
• Amanda Whichard, MS, NCC
• Abigaile Whitaker, RBT
• Carolyn W White Bell, LPC
• Kathryn Jade White Garrard, AUD-CCCA

• General Practice Dentistry in Gulfport, MS
• Providers in Gulfport, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.