NPIMap

Organization Active NPI

Wyoming Dental Imaging, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lander, WY
National Provider Identifier
1942430640
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
740 Issued in WY
Legal business name
WYOMING DENTAL IMAGING, LLC
Practice address
799 S 2ND St # B
Lander, WY 82520-3703
Phone
(307) 332-9136
Fax
(307) 335-8458
NPI assigned
Jul 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Brent G Bills, DMD, MS
Title
Owner
Phone
(307) 332-9136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 740 WY Primary

Addresses

Primary practice location

799 S 2ND St # B
Lander, WY 82520-3703

Mailing address

PO Box 1532
Lander, WY 82520-1532
Phone (307) 332-9136

National Provider Directory

National Provider Directory

Locations

799 S 2nd St
Unit B
Lander, WY 82520
Phone (307) 332-9136

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1942430640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1532",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825201532",
            "telephone_number": "307-332-9136",
            "fax_number": "307-335-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 S 2ND ST # B",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203703",
            "telephone_number": "307-332-9136",
            "fax_number": "307-335-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING DENTAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "BILLS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-332-9136",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WY",
            "license": "740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lander, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.