Individual provider Active NPI

Todd B. Wyatt, D.M.D.

  • General Practice Dentistry
  • Searcy, AR
National Provider Identifier
1679687248
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3325 Issued in AR
Practice address
710 Marion St
Suite 302
Searcy, AR 72143-4832
Phone
(501) 268-3666
Fax
(501) 268-0220
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3325 AR Primary

Addresses

Primary practice location

710 Marion St
Suite 302
Searcy, AR 72143-4832

Mailing address

710 Marion St
Suite 302
Searcy, AR 72143-4832
Phone (501) 268-3666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20190604002252 AR Practitioner - Dentist 4082926399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Louisville School of Dentistry, 2000
Medicare assignment
May accept Medicare assignment
Group practices
White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

2900 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 278-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center CurrentSince Apr 13, 2019 Accepting new patients
White County Medical Center CurrentSince Apr 13, 2019 Accepting new patients
Arkansas Health Group Current Accepting new patients
Searcy Dental Associates, P.a. Todd Bryan Wyatt, D.M.D. General Practice Past Accepting new patients

Locations

710 Marion St
Ste 302
Searcy, AR 72143
Phone (501) 268-3666

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679687248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MARION ST",
            "address_2": "SUITE 302",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434832",
            "telephone_number": "501-268-3666",
            "fax_number": "501-268-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MARION ST",
            "address_2": "SUITE 302",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434832",
            "telephone_number": "501-268-3666",
            "fax_number": "501-268-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "TODD",
        "middle_name": "B.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.