Wheeler Family Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31987 Issued in TX

Legal business name

WHEELER FAMILY DENTISTRY PLLC

Doing business as

Goodyear Family Dentistry

Practice address

14425 W McDowell Rd Ste F106
Goodyear, AZ 85395-2516

Phone

(623) 925-8208

NPI assigned

Dec 4, 2017

Last updated

May 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kallen Clinton Wheeler, DMDNPI 1326491341

Title

Dentist

Phone

(208) 757-8784

Specialties & licenses 1

Addresses

Other names 1

• Goodyear Family Dentistry Doing business as

Electronic endpoints 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kallen Wheeler, DMD

  • Dentist
  • Goodyear, AZ
  • NPI 1326491341

  General Practice

  NPD Authorized official
• Katelyn Mae McDowell, DMD

  • Dentist
  • Goodyear, AZ
  • NPI 1215624382
  NPD
• Alexander Borisovich Zaykov, DDS

  • Dentist
  • Goodyear, AZ
  • NPI 1992360705
  NPD
• Oliva Ria Flores Tamayo, DDS

  • General Practice Dentistry
  • Avondale, AZ
  • NPI 1013096221
  NPD (past)

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1962917658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 LAKE JUNE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752173041",
            "telephone_number": "972-362-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14425 W MCDOWELL RD STE F106",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952516",
            "telephone_number": "623-925-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELER FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "KALLEN",
        "authorized_official_middle_name": "CLINTON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-757-8784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@goodyeardentistry.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14425 W McDowell Rd Ste F106",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853952516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Goodyear Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Western Regional Medical Center Inc (Western Regional Medical Center Retail Pharmacy)
• Western Regional Medical Center, Inc. (City of Hope Cancer Center Arizona)
• Westridge Dental Group, LTD
• Josh Whatcott, DDS
• Hunter James Wheaton, PT,DPT
• Ashley M Wheeler, APRN
• Ashley Renee Wheeler, PTA
• Kallen Wheeler, DMD
• Mark Delwyn Wheeler, D.M.D
• Devin Talmage Whipple, OD

• General Practice Dentistry in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.