Organization Active NPI

John C. Wyatt DDS & Associates PC

  • General Practice Dentistry
  • Jackson, MI
National Provider Identifier
1801845003
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN C. WYATT DDS & ASSOCIATES PC
Practice address
2885 Spring Arbor Rd
Jackson, MI 49203-3607
Phone
(517) 787-0900
Fax
(517) 787-6363
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
John C Wyatt, D.D.S.
Title
President
Phone
(517) 787-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X MI Primary

Addresses

Primary practice location

2885 Spring Arbor Rd
Jackson, MI 49203-3607

Mailing address

2885 Spring Arbor Rd
Jackson, MI 49203-3607
Phone (517) 787-0900

Other names 1

  • Wyatt Family Dentristry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801845003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033607",
            "telephone_number": "517-787-0900",
            "fax_number": "517-787-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033607",
            "telephone_number": "517-787-0900",
            "fax_number": "517-787-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. WYATT DDS & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-787-0900",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyatt Family Dentristry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.