Individual provider Active NPI

Monte Alan Wheeler, DDS

  • General Practice Dentistry
  • Springdale, AR
National Provider Identifier
1356443907
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
AR3115 Issued in AR
Practice address
7247 Brooklyn Ave
Springdale, AR 72762-0886
Phone
(479) 756-9996
Fax
(479) 756-0050
NPI assigned
Sep 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X AR3115 AR Primary

Addresses

Primary practice location

7247 Brooklyn Ave
Springdale, AR 72762-0886

Mailing address

7247 Brooklyn Ave
Springdale, AR 72762-0886
Phone (479) 756-9996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20160217000961 AR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3870898554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AR3115ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Monte a. Wheeler D.D.S. P.a. Past Accepting new patients

Organizations & group practices 1

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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1356443907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7247 BROOKLYN AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620886",
            "telephone_number": "479-756-9996",
            "fax_number": "479-756-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7247 BROOKLYN AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620886",
            "telephone_number": "479-756-9996",
            "fax_number": "479-756-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "MONTE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "AR3115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.