James P Wiygul, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS3263 Issued in TN

Practice address

5340 Poplar Ave
Suite #1
Memphis, TN 38119-3516

Phone

(901) 682-4007

Fax

(901) 683-4124

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1942224233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 POPLAR AVE",
            "address_2": "SUITE #1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193516",
            "telephone_number": "901-682-4007",
            "fax_number": "901-683-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 POPLAR AVE",
            "address_2": "SUITE #1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193516",
            "telephone_number": "901-682-4007",
            "fax_number": "901-683-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIYGUL",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "DS3263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "638660",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "4071304",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "62-1111119",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Witt, RBT
• Reginald Lyvonne Witt, M.D.
• Shea Witt
• Ami Jones Wittber, PHARMD
• Dexter Witte III, MD
• Mark Edward Wiygul, D.D.S.
• Marcin Wojciech Wlodarski, MD, PHD
• WM Clark Alz Care
• WM Clark Alz Care
• Andrew John Wodowski, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.