Wade Logan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44733 Issued in CA

Practice address

8701 Camino Media
Suite a
Bakersfield, CA 93311-1335

Phone

(661) 861-8000

Fax

(661) 616-5464

NPI assigned

Jul 14, 2008

Last updated

Jul 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Casteen Dental Corp

  dba Capital Dental Group

  • General Practice Dentistry
  • Bakersfield, CA
  • NPI 1356782254
  NPD (past)
• Casteen Dental Corp Dba Capital Dental Group

  • General Practice Dentistry
  • Bakersfield, CA
  • NPI 1760646210
  NPD (past)

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1912161464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 CAMINO MEDIA",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111335",
            "telephone_number": "661-861-8000",
            "fax_number": "661-616-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 CAMINO MEDIA",
            "address_2": "SUITE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111335",
            "telephone_number": "661-861-8000",
            "fax_number": "661-616-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "WADE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Loera
• Mark Jeffrey Loewen, D.O.
• Logan Dental Corporation
• Carleen Logan, CAARR
• Jack Phillip Logan
• Elizabeth Helen Logue, CRNP
• Deborah Huimin Loh
• Meredith Delgado Lolin, RN
• Loma Linda Management Company, Inc (Chateau D Bakersfield)
• Loma Linda MGMT

• General Practice Dentistry in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.