Organization Active NPI

Wheeler Plastic & Reconstructive Surgery,Inc

  • Plastic Surgery Physician
  • Rutland, VT
National Provider Identifier
1790815801
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0420005701 Issued in VT
Legal business name
WHEELER PLASTIC & RECONSTRUCTIVE SURGERY,INC
Practice address
92 Allen St
Rutland, VT 05701-4562
Phone
(802) 775-2588
Fax
(802) 775-8062
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John C Wheeler, DMD,MDNPI 1376536383
Title
President
Phone
(802) 775-2588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 0420005701 VT Primary

Addresses

Primary practice location

92 Allen St
Rutland, VT 05701-4562

Mailing address

92 Allen St
Rutland, VT 05701-4562
Phone (802) 775-2588

National Provider Directory

National Provider Directory

Locations

92 Allen St
Ste 1
Rutland, VT 05701
Phone (802) 775-2588

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790815801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 ALLEN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014562",
            "telephone_number": "802-775-2588",
            "fax_number": "802-775-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 ALLEN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014562",
            "telephone_number": "802-775-2588",
            "fax_number": "802-775-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELER PLASTIC & RECONSTRUCTIVE SURGERY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-775-2588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "VT",
            "license": "0420005701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.