Active NPI
Robert Wesley Wingo, DDS
- General Practice Dentistry
- Joelton, TN
National Provider Identifier
1700980745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS0000003053
- Practice address
- 3353 Union Hill Rd
Joelton, TN 37080-8726 - Phone
- (615) 876-2325
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS0000003053 | TN | Primary |
Addresses
Primary practice location
3353 Union Hill Rd
Joelton, TN 37080-8726
Mailing address
3353 Union Hill Rd
P.O. Box 759
Joelton, TN 37080-8726
Phone (615) 876-2325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150318001840 | TN | Order and Referring Only - Oral Surgery | 8729305495 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1700980745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3353 UNION HILL RD",
"address_2": "P.O. BOX 759",
"city": "JOELTON",
"state": "TN",
"postal_code": "370808726",
"telephone_number": "615-876-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3353 UNION HILL RD",
"city": "JOELTON",
"state": "TN",
"postal_code": "370808726",
"telephone_number": "615-876-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGO",
"first_name": "ROBERT",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS0000003053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joelton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.