Raymond L Wiggins, D.D.S., M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

18986 Issued in TX

Practice address

810 S Mason Rd
Ste 301
Katy, TX 77450-3858

Phone

(281) 395-1200

Fax

(281) 395-1207

NPI assigned

Sep 29, 2005

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Texas Oral and Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Katy, TX
  • NPI 1477540052
  NPD (past) Authorized official

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1942297510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S MASON RD",
            "address_2": "SUITE 301",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503895",
            "telephone_number": "281-395-1200",
            "fax_number": "281-395-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S MASON RD",
            "address_2": "STE 301",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503858",
            "telephone_number": "281-395-1200",
            "fax_number": "281-395-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "RAYMOND",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "18986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSURANT",
            "identifier": "51107",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "509663782",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBP",
            "identifier": "164989",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ID",
            "identifier": "88D134",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHA",
            "identifier": "51107",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larita Whittington, PMHNP-BC
• Sydney Widner
• Lorenzo Widyaratne
• Melissa Wiggins
• Rashalyn Carrier Wiggins
• Diana Wilches, LMSW
• Wilcrest Counseling Services, PLLC
• Wild and Free Pediatric Therapy PLLC
• Catherine Renee Wilder, D.D.S.
• Melissa Erin Wilkes Requenez, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Katy, TX
• Providers in Katy, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.