Active NPI
Gregory Anthony Wadleigh, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Anthem, AZ
National Provider Identifier
1720245251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- D7050
- Practice address
- 42407 N Vision Way
Suite 101
Anthem, AZ 85086-1480 - Phone
- (623) 551-7500
- NPI assigned
- May 21, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D7050 | AZ | Primary |
Addresses
Primary practice location
42407 N Vision Way
Suite 101
Anthem, AZ 85086-1480
Mailing address
42407 N Vision Way
Suite 101
Anthem, AZ 85086-1480
Phone (623) 551-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7050 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crown Dental | Past | Accepting new patients |
Organizations & group practices 1
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": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277510400000",
"number": "1720245251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42407 N VISION WAY",
"address_2": "SUITE 101",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850861480",
"telephone_number": "623-551-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42407 N VISION WAY",
"address_2": "SUITE 101",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850861480",
"telephone_number": "623-551-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADLEIGH",
"first_name": "GREGORY",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2010-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AZ",
"license": "D7050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anthem, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.