Organization Active NPI

Wade Wheeler D.D.S.P.C.

  • General Practice Dentistry
  • Springfield, MO
National Provider Identifier
1366612442
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
015903 Issued in MO
Legal business name
WADE WHEELER D.D.S.P.C.
Practice address
3556 S Culpepper Cir
Suite Number 6
Springfield, MO 65804-4270
Phone
(417) 883-8080
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Wade Edward Wheeler, D.D.S.,P.C.NPI 1134297468
Title
Dentist
Phone
(417) 883-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 015903 MO Primary

Addresses

Primary practice location

3556 S Culpepper Cir
Suite Number 6
Springfield, MO 65804-4270

Mailing address

3556 S Culpepper Cir
Suite Number 6
Springfield, MO 65804-4270
Phone (417) 883-8080

National Provider Directory

National Provider Directory

Locations

3556 S Culpepper Cir
Ste 6
Springfield, MO 65804
Phone (417) 883-8080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1366612442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3556 S CULPEPPER CIR",
            "address_2": "SUITE NUMBER 6",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044270",
            "telephone_number": "417-883-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 S CULPEPPER CIR",
            "address_2": "SUITE NUMBER 6",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044270",
            "telephone_number": "417-883-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE WHEELER D.D.S.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "417-883-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,P.C."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.