Organization Active NPI

Dentistryone of Wyoming PC

  • General Practice Dentistry
  • Cheyenne, WY
National Provider Identifier
1427880756
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTISTRYONE OF WYOMING PC
Practice address
2232 Dell Range Blvd Ste 245
Cheyenne, WY 82009-4979
Phone
(877) 712-7875
NPI assigned
Aug 15, 2024
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Derek Weigand
Title
Owner
Phone
(877) 712-7875

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary
Pediatric Dentistry 1223P0221X

Addresses

Primary practice location

2232 Dell Range Blvd Ste 245
Cheyenne, WY 82009-4979

Mailing address

20 Highland Ave
Metuchen, NJ 08840-1949

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1427880756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HIGHLAND AVE",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 DELL RANGE BLVD STE 245",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094979",
            "telephone_number": "877-712-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRYONE OF WYOMING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "WEIGAND",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-712-7875"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.