Mark Joseph Wightman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5747 Issued in LA

Practice address

2212 Paris Rd
Chalmette, LA 70043-5025

Phone

(504) 272-0870

Fax

(504) 302-9054

NPI assigned

Mar 30, 2007

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 LA

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

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.

• Wightman Family Dental

  • General Practice Dentistry
  • Chalmette, LA
  • NPI 1013179746
  NPD (past) Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1942320007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 PARIS RD",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700435025",
            "telephone_number": "504-272-0870",
            "fax_number": "504-302-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 PARIS RD",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700435025",
            "telephone_number": "504-272-0870",
            "fax_number": "504-302-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGHTMAN",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica May White, M.D.
• Tanisha White
• Terri Ann White, MA
• Wightman Family Dental
• Courtney W Wightman, DDS
• Wilkinson Family Pharmacy LLC
• Brett Alan Wilkinson, M.D.
• Keith Daniel Wilkinson, PHARMD
• Adrianne Alicia Williams
• Danielle Williams

• Dentist in Chalmette, LA
• Providers in Chalmette, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.