Robert Ray Wiggins, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4994 Issued in WA

Practice address

13921 Meridian E
Suite 108
Puyallup, WA 98373-5604

Phone

(253) 841-2455

Fax

(253) 770-0254

NPI assigned

Nov 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective May 6, 2016 through May 6, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417024456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13921 MERIDIAN E",
            "address_2": "SUITE 108",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735604",
            "telephone_number": "253-841-2455",
            "fax_number": "253-770-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13921 MERIDIAN E",
            "address_2": "SUITE 108",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735604",
            "telephone_number": "253-841-2455",
            "fax_number": "253-770-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "ROBERT",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "4994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy C Wical Jr., BSN, DNP, PMHNP-BC
• Elise Wickers
• Wiebe 1 Enterprises LLC
• Chantel Wieber
• Shelby Elizabeth Wiedmann
• William Scott Wiggins, DDS
• Sanka Wijesinghe, MD
• Dan Algot Wiklund, M.D.
• Lekisha Wilde, ARNP
• Wildwood Healthcare, Inc. (Rainier Rehabilitation)

• Dentist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Dentist in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.