Individual provider Active NPI

Robert Leonard Wheeler III, D.D.S MS

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1447383203
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
1300 Iroquois Ave
Ste 130
Naperville, IL 60563-8553
Phone
(630) 717-1606
Fax
(630) 717-9702
NPI assigned
Mar 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 IL Primary

Addresses

Primary practice location

1300 Iroquois Ave
Ste 130
Naperville, IL 60563-8553

Mailing address

1300 Iroquois Ave
Ste 130
Naperville, IL 60563-8553
Phone (630) 717-1606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717005011 IL Practitioner - Dentist 6709322498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019019529ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partnership of Illinois CurrentSince May 9, 2024 Accepting new patients
Community Health Partnership of Illinois CurrentSince May 9, 2024 Accepting new patients
Community Health Partnership of Illinois Current Accepting new patients

Locations

157 S Lincoln Ave
Ste D
Aurora, IL 60505
Phone (630) 859-0015

205 W Randolph St
Ste 2222
Chicago, IL 60606
Phone (312) 795-0000

62 N Ayer St
Ste A
Harvard, IL 60033
Phone (312) 795-0000

1009 Main St
Mendota, IL 61342
Phone (312) 795-0000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447383203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 IROQUOIS AVE",
            "address_2": "STE 130",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638553",
            "telephone_number": "630-717-1606",
            "fax_number": "630-717-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 IROQUOIS AVE",
            "address_2": "STE 130",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638553",
            "telephone_number": "630-717-1606",
            "fax_number": "630-717-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "ROBERT",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.