Jeremy C Wiggins, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D-3494 Issued in ID

Practice address

3326 4TH St Ste 4
Lewiston, ID 83501-4455

Phone

(208) 743-2505

Fax

(208) 746-6395

NPI assigned

Aug 5, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Dentistry '4' Children PLLC

  • Dentist
  • Lewiston, ID
  • NPI 1902896772
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1912916461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 4TH ST STE 4",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014455",
            "telephone_number": "208-743-2505",
            "fax_number": "208-746-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 4TH ST STE 4",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014455",
            "telephone_number": "208-743-2505",
            "fax_number": "208-746-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "JEREMY",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-3494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5039532",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806332400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allyson Whiting, DPT
• Mark Steven Whitinger, M.A., LCPC
• Wholehearted Counseling Service
• Pamela Jean Wieters, LCSW
• Curtis E Wiggins, DDS
• Wilkinson Orthodontics
• Katherine Elizabeth Bryan Willard, PHARMD
• William R. Bozarth, M.D., P.S.
• Daniel E Williams, M.D.
• John Lindsey Williams

• Pediatric Dentistry in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Pediatric Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.