Gary L Waite, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

858 Issued in DE

Practice address

5500 Skyline Dr
Suite 2
Wilmington, DE 19808-1772

Phone

(302) 239-8586

Fax

(302) 239-0671

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609929298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 SKYLINE DR",
            "address_2": "SUITE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081772",
            "telephone_number": "302-239-8586",
            "fax_number": "302-239-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 SKYLINE DR",
            "address_2": "SUITE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081772",
            "telephone_number": "302-239-8586",
            "fax_number": "302-239-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Anne Garripoli Wahl, DMD
• Jeff Wahl
• John Wahl, M.D.
• Michael J Wahl, DDS
• Patrick T Wahl, DMD
• Karen Lee Waite, B.S., C.A.D.C.
• Margot Waitz, DO
• Tadaie Wakamatsu, MD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5436)
• Hannah Elizabeth Walczykowski

• General Practice Dentistry in Wilmington, DE
• Providers in Wilmington, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.