Individual provider Active NPI

Bruce A Sexton, D.D.S.

  • General Practice Dentistry
  • Wayland, MI
National Provider Identifier
1609860139
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13929 Issued in MI
Practice address
145 S Main St
Suite 1
Wayland, MI 49348-1701
Phone
(269) 792-2220
Fax
(269) 792-6436
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 13929 MI Primary

Addresses

Primary practice location

145 S Main St
Suite 1
Wayland, MI 49348-1701

Mailing address

145 S Main St
Suite 1
Wayland, MI 49348-1701
Phone (269) 792-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150302000318 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0446209035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13929MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609860139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481701",
            "telephone_number": "269-792-2220",
            "fax_number": "269-792-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481701",
            "telephone_number": "269-792-2220",
            "fax_number": "269-792-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEXTON",
        "first_name": "BRUCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MI

Sources for this page

Verify at the official NPI Registry.