Tracy D Wyatt DDS PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

S3-163 Issued in NV

Legal business name

TRACY D WYATT DDS PC

Practice address

7550 W Lake Mead Blvd
Suite 6
Las Vegas, NV 89128-1001

Phone

(702) 242-9777

NPI assigned

Jul 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tracy D Wyatt, DDS

Title

President

Phone

(702) 242-9777

Specialties & licenses 1

Addresses

Other names 1

• Wyatt Orthodontics Doing business as

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1801051503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 W LAKE MEAD BLVD",
            "address_2": "SUITE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281001",
            "telephone_number": "702-242-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 W LAKE MEAD BLVD",
            "address_2": "SUITE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281001",
            "telephone_number": "702-242-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY D WYATT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-242-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyatt Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trac-B Exchange LLC
• Fern Tracey, RPH
• Samuel Trachet
• Traci E Grossman MD a Professional Corporation
• Sandra Noemi Traconis, FNP-C
• Angela Tracy
• Cecilia Marie Tracy
• David Tracy
• Gina Louise Tracy, RPH
• Kristin Tracy, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.