James Lewis Wetzel Jr., D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

546 Issued in WY

Practice address

932 S David St
Casper, WY 82601-3738

Phone

(307) 237-8419

Fax

(307) 234-4912

NPI assigned

Apr 30, 2008

Last updated

Apr 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bozeman Trail Orthodontics PC

  • Dental Clinic/Center
  • Casper, WY
  • NPI 1467561167
  NPD (past) Authorized official
• Erickson DMD PC

  dba 307 Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Casper, WY
  • NPI 1821420720
  NPD (past)

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1629244637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 S DAVID ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013738",
            "telephone_number": "307-237-8419",
            "fax_number": "307-234-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 S DAVID ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013738",
            "telephone_number": "307-237-8419",
            "fax_number": "307-234-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "JAMES",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WY",
            "license": "546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123677600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western Medical and Neuroscience (Western Medical Associates, LLC)
• Western Medical Associates, L.L.C. Diagnostics and Imaging
• Western Medical Associates, LLC
• Olyvia Weston, MD
• Westside Womens Clinic LLC
• David B Wheeler, MD PHD
• Frank R Wheeler, MD
• Gretchen Elaine Wheeler
• Kody James Wheeler, DNP, APRN-CNP, FNP-C
• Kelly Jenelle Whelan, M.S., CCC-SLP

• Orthodontics and Dentofacial Orthopedics Dentistry in Casper, WY
• Providers in Casper, WY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.