Kyle W. Wheeler, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401005293 Issued in VA

Legal business name

KYLE W. WHEELER, DDS, PC

Practice address

1084 Thomas Jefferson Rd
Suite 5
Forest, VA 24551-2298

Phone

(434) 385-6398

Fax

(434) 385-6847

NPI assigned

Nov 2, 2013

Organization subpart

No

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

Authorized official

Name

Kyle W. Wheeler, D.D.S.NPI 1285647677

Title

President

Phone

(434) 385-6398

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Wesley Wheeler, D.D.S.

  • General Practice Dentistry
  • Forest, VA
  • NPI 1285647677
  NPD (past) Authorized official
• Chad Austin McLennan, DDS

  • General Practice Dentistry
  • Forest, VA
  • NPI 1861044943
  NPD (past)

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1548699341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 THOMAS JEFFERSON RD",
            "address_2": "SUITE 5",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512298",
            "telephone_number": "434-385-6398",
            "fax_number": "434-385-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 THOMAS JEFFERSON RD",
            "address_2": "SUITE 5",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512298",
            "telephone_number": "434-385-6398",
            "fax_number": "434-385-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE W. WHEELER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-385-6398",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401005293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7813562",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Maria Knight, LPC
• Mahesh Kumar Kodikalla Srinivasulu, P.T.
• Andrew Edward Kosiba, DPT
• Kroger Limited Partnership I
• Kristen Kuk, MD
• Lake Audiology Inc
• Alyson Butler Lake, AU-D
• Thomas Lamartina, RPH
• Charles Riley Latham, D.O.
• Haley Latta

• Dental Clinic/Center in Forest, VA
• Providers in Forest, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.