Active NPI
Jennifer Lynn Wheeler, D.M.D.
- Dentist
- Chesterfield, MO
National Provider Identifier
1730495177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2009032630
- Practice address
- 1548 Woodlake Dr
Chesterfield, MO 63017-5712 - Phone
- (314) 576-3737
- Fax
- (314) 576-3737
- NPI assigned
- Aug 24, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2009032630 | MO | Primary |
Addresses
Primary practice location
1548 Woodlake Dr
Chesterfield, MO 63017-5712
Mailing address
1548 Woodlake Dr
Chesterfield, MO 63017-5712
Phone (314) 576-3737
Other names 1
- Dr. Jennifer Lynn Sproehnle
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009032630 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1730495177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1548 WOODLAKE DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175712",
"telephone_number": "314-576-3737",
"fax_number": "314-576-3740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1548 WOODLAKE DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175712",
"telephone_number": "314-576-3737",
"fax_number": "314-576-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2009032630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "SPROEHNLE",
"middle_name": "LYNN",
"prefix": "DR.",
"credential": "D.M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.