Individual provider Active NPI

Wayne R Wauligman, DDS

  • Dentist
  • Addyston, OH
National Provider Identifier
1730142233
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30014483 Issued in OH
Practice address
7 South Road
Addyston, OH 45001
Phone
(513) 662-4242
NPI assigned
Apr 7, 2006
Last updated
May 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30014483 OH Primary

Addresses

Primary practice location

7 South Road
Addyston, OH 45001

Mailing address

PO Box 489
Addyston, OH 45001-0489
Phone (513) 662-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150414002683 OH Order and Referring Only - DentistPractitioner - Dentist 5496071862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30014483OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
W R Wauligman DDS Inc CurrentSince Dec 17, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1730142233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "ADDYSTON",
            "state": "OH",
            "postal_code": "450010489",
            "telephone_number": "513-662-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SOUTH ROAD",
            "city": "ADDYSTON",
            "state": "OH",
            "postal_code": "45001",
            "telephone_number": "513-662-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAULIGMAN",
        "first_name": "WAYNE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2024-05-02",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30014483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addyston, OH

Sources for this page

Verify at the official NPI Registry.