Wyatt & Dad, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

WYATT & DAD, INC.

Practice address

3911 Country Club Rd
Winston-Salem, NC 27104-2914

Phone

(336) 765-4392

Fax

(336) 765-8555

NPI assigned

Apr 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Anthony S Wyatt

Title

Ceo/President

Phone

(336) 765-4392

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1679535736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 COUNTRY CLUB RD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271042914",
            "telephone_number": "336-765-4392",
            "fax_number": "336-765-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 COUNTRY CLUB RD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271042914",
            "telephone_number": "336-765-4392",
            "fax_number": "336-765-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYATT & DAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "336-765-4392",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704216",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonard James Wudel, M.D.
• Scott David Wuertzer, M.D.
• Emilia Lee Wunderlich, FNP
• Zachary Blaze Wunrow, MD
• Curtis James Wurz
• Allison Wyble
• Brittany Elaine Wyche, PHD LCMHCS NCC
• Madison Lynn Wylam
• Jacob Logan Wylie
• Jennifer Wylie, MD, MS

• Prosthetic/Orthotic Supplier in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.