Tara J Wheeler DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5751 Issued in AL

Legal business name

TARA J WHEELER DMD LLC

Practice address

2127 N Hickory St
Suite D
Loxley, AL 36551-2411

Phone

(251) 964-2671

Fax

(251) 964-2673

NPI assigned

Jun 16, 2011

Organization subpart

No

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

Authorized official

Name

Tara J Wheeler, D.M.D.

Title

Owner, Dentist

Phone

(205) 616-0419

Specialties & licenses 1

Addresses

Other names 1

• Wheeler Family Dental Doing business as

Locations

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1477848596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 2ND AVE",
            "city": "PLEASANT GROVE",
            "state": "AL",
            "postal_code": "351271757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 N HICKORY ST",
            "address_2": "SUITE D",
            "city": "LOXLEY",
            "state": "AL",
            "postal_code": "365512411",
            "telephone_number": "251-964-2671",
            "fax_number": "251-964-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA J WHEELER DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "205-616-0419",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "5751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wheeler Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert W. Barnhill
• Gregory M Sells
• Laura Shepherd
• Shandi Shiver, CRNP
• Stepping Stones Consulting, LLC
• Tara J Wheeler DMD Or Steven M Craine DMD, PC
• Thomas Coleman Vice
• Victoria Paige Wallace, MYOFUNTIONAL THERAPY
• Karen Weston, OTR
• Caleb Whitehead

• Dental Clinic/Center in Loxley, AL
• Providers in Loxley, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.