Andrea H Wiley, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6303 Issued in AL

Practice address

1316 Noble St
Anniston, AL 36201-4643

Phone

(256) 236-0221

NPI assigned

Aug 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea N Holmes Professional name

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cahaba Medical Care Foundation

  • Federally Qualified Health Center (FQHC)
  • Centreville, AL
  • NPI 1316201809
  Medicare reassignment NPD
• Grants Mill Family Dentistry, LLC

  • Dental Clinic/Center
  • Irondale, AL
  • NPI 1538775150
  NPD Authorized official
• Cahaba Medical Care Foundation

  dba CMC Pharmacy Centreville

  • Federally Qualified Health Center (FQHC)
  • Centreville, AL
  • NPI 1316542624
  NPD

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1740736990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 97",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359020097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 NOBLE ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362014643",
            "telephone_number": "256-236-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "ANDREA",
        "middle_name": "H",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "HOLMES",
            "middle_name": "N",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Yesylle Marie White, DMD
• Brian Scott Whitney, PTA
• Michael Roger Wiedmer, MD
• Dawn Dachelet Wilczek, O.D.
• Wildflower Speech and Language Therapy, LLC
• Wilfredo Grana, M.D.,P.C.
• Wilhoite & Associates, P.C.
• Herbert Wilkerson
• William J. Fergson, Jr., MD PC
• Shane Clinton Williamon I, CRNP

• General Practice Dentistry in Anniston, AL
• Providers in Anniston, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.

Verify at the official NPI Registry.