Active NPI
John C. Wyatt DDS & Associates PC
- General Practice Dentistry
- Jackson, MI
National Provider Identifier
1801845003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryNPI 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.