Zane S. Nevins, DDS
Individual provider Active NPI General Practice Dentistry · Wheatland, WY
NPI 1720122773 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720122773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 775 (WY)
- Practice address
- 1557 Brice St
Wheatland, WY 82201-3505 - Phone
- (307) 322-4450
- Fax
- (307) 322-1699
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160225001779 | WY | Order and Referring Only - Dentist |
1850696022 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 775 | WY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 775 | WY | Yes |
Addresses
Primary practice location
1557 Brice St
Wheatland, WY 82201-3505
Mailing address
1557 Brice St
Wheatland, WY 82201-3505
Phone (307) 322-4450
Other providers in Wheatland, WY
- Jonathan James Morehead
- Mud Springs Vision Clinic, Inc.
- Donna MN Murphy
- Amanda Nelson
- Jennifer Shreve Nevins
- New Hope Counseling and Consulting, LLC
- North Platte Physical Therapy Services Inc
- Northfork Speech and Hearing PC
- Chelsea J Olson
- Lauri A Palmer
All providers in Wheatland, WY · General Practice Dentistry in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.