Organization Active NPI

Jeffery B Wheaton DDS MD and Associates LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Santa Fe, NM
National Provider Identifier
1881011864
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2052 Issued in NM
Legal business name
JEFFERY B WHEATON DDS MD AND ASSOCIATES LLC
Practice address
490B W Zia Rd
Suite #3
Santa Fe, NM 87505-7008
Phone
(505) 992-1550
NPI assigned
Mar 27, 2014
Organization subpart
Yes
Parent organization
JEFFERY B WHEATON DDS MD AND ASSOC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Dr. Jeffery B Wheaton, DDS,MD
Title
Owner
Phone
(505) 992-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 2052 NM Primary

Addresses

Primary practice location

490B W Zia Rd
Suite #3
Santa Fe, NM 87505-7008

Mailing address

490B W. Zia Rd.
Suite #3
Santa Fe, NM 87505
Phone (505) 992-1550

National Provider Directory

National Provider Directory
Part of
Jeffery B Wheaton DDS MD and Associates LLC

Locations

490B W Zia Rd
Ste 3
Santa Fe, NM 87505
Phone (505) 992-1550

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": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1881011864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490B W. ZIA RD.",
            "address_2": "SUITE #3",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-992-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490B W ZIA RD",
            "address_2": "SUITE #3",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057008",
            "telephone_number": "505-992-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY B WHEATON DDS MD AND ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFERY B WHEATON DDS MD AND ASSOC LLC",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "WHEATON",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-992-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NM",
            "license": "2052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.