Individual provider Active NPI

John Daniel Wayand, DMD

  • General Practice Dentistry
  • Springfield, PA
National Provider Identifier
1376073320
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS041281 Issued in PA
Practice address
114 S State Rd
Springfield, PA 19064-1218
Phone
(610) 544-3777
NPI assigned
Jun 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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 DS041281 PA Primary

Addresses

Primary practice location

114 S State Rd
Springfield, PA 19064-1218

Mailing address

1221 S Broad St Apt 403
Philadelphia, PA 19147-4445
Phone (919) 699-0490

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
DS041281PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John Wayand, DMD, PLLC Current Accepting new patients
Lee Dental Associates, LTD. General Practice Past Accepting new patients
Dentistry by Design Colonial Heights PLLC Past Accepting new patients

Organizations & group practices 3

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1376073320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROAD ST APT 403",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474445",
            "telephone_number": "919-699-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S STATE RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641218",
            "telephone_number": "610-544-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYAND",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.