Individual provider Active NPI

Christie Lorraine Cason Wheeler, DMD

  • General Practice Dentistry
  • Lake City, FL
National Provider Identifier
1386792513
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0013199 Issued in FL
Practice address
272 SW Bentley PL
Lake City, FL 32025-6972
Phone
(386) 752-3043
Fax
(386) 755-1466
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DN0013199 FL Primary

Addresses

Primary practice location

272 SW Bentley PL
Lake City, FL 32025-6972

Mailing address

197 NW Brookside CT
Lake City, FL 32055-8661
Phone (386) 755-7758

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
DN0013199FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ramkissoon Weiss Dental PLLC General Practice PastSince Apr 1, 2022 Accepting new patients
Andrews & Wheeler, DMD PA Past Accepting new patients

Organizations & group practices 2

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386792513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 NW BROOKSIDE CT",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320558661",
            "telephone_number": "386-755-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 SW BENTLEY PL",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256972",
            "telephone_number": "386-752-3043",
            "fax_number": "386-755-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "CHRISTIE",
        "middle_name": "LORRAINE CASON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.