NPIMap

Organization Active NPI

Thomas L Wigger DMD

  • Dentist
  • Louisville, KY
National Provider Identifier
1669566469
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4732 Issued in KY
Legal business name
THOMAS L WIGGER DMD
Practice address
6500 Outer Loop
Louisville, KY 40228-2096
Phone
(502) 969-9300
Fax
(502) 969-0630
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Louis Wigger, DMDNPI 1649404823
Title
Owner
Phone
(502) 969-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4732 KY Primary

Addresses

Primary practice location

6500 Outer Loop
Louisville, KY 40228-2096

Mailing address

6500 Outer Loop
Louisville, KY 40228-2096
Phone (502) 969-9300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669566469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 OUTER LOOP",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402282096",
            "telephone_number": "502-969-9300",
            "fax_number": "502-969-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 OUTER LOOP",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402282096",
            "telephone_number": "502-969-9300",
            "fax_number": "502-969-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L WIGGER DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIGGER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-969-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "4732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.