DR. JOHN ANDREW WYATT (NPI# 1104811124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104811124 |
| Entity Type | Individual |
| Full Name | DR. JOHN ANDREW WYATT |
| Credential | D.D.S |
| Practice Address |
4960 Ward Rd Wheat Ridge CO 80033-2124 |
| Mailing Address |
13057 W Iliff Dr Lakewood CO 80228-4907 |
| Practice Telephone | 3034210600 |
| Mailing Telephone | 3034210600 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
CO6861 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134488422 | John Francis Wyatt | Registered Nurse | 91 Antioch Pike, Nashville, TN 37211-3015 | 2012-05-08 |
| 1982775052 | John Robert Wyatt | Chiropractor | 1500 Research Forest Dr, Suite 120, Spring, TX 77381-4373 | 2006-11-12 |
| 1184127383 | John Mcfadden Wyatt | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2018-03-14 |
| 1205106523 | John Robert Wyatt Jr. | Nurse Anesthetist, Certified Registered | 900 W Kingshighway, Paragould, AR 72450 | 2012-01-03 |
| 1659313724 | John M Wyatt | Physical Medicine & Rehabilitation | 2170 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6602 | 2006-06-12 |
| 1225087364 | John C Wyatt | Dentist | 2885 Spring Arbor Rd, Jackson, MI 49203-3607 | 2006-05-08 |
| 1871584904 | John Creedmore Wyatt IIi | Radiology | 529 N Galloway Ave, Suite 16, Mesquite, TX 75149-3420 | 2005-10-28 |
| Street Address |
4960 WARD RD |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396289252 | Amanda Ballnger | Dental Hygienist | 4960 Ward Rd, Wheat Ridge, CO 80033-2124 | 2016-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942598032 | Patricia Jenny Foster | Dentist | 7900 W 44th Ave Ste 101, Wheat Ridge, CO 80033-4563 | 2011-07-11 |
| 1437481959 | Sheridan Dental, PC | Dentist | 5375 W 38th Ave, Wheat Ridge, CO 80212-7058 | 2010-02-09 |
| 1922205343 | Steven John Zapien | Dentist | 4331 Harlan St, Wheat Ridge, CO 80033-5121 | 2007-06-29 |
| 1124240775 | Edward P Sherlock Dds PC | Dentist | 8850 West 38th Ave, Suite C, Wheat Ridge, CO 80033 | 2007-05-03 |
| 1407988488 | Norman W. Ebner | Dentist | 6605 W 38th Ave, Wheat Ridge, CO 80033-4905 | 2007-03-12 |
| 1275661886 | Cort Patrick Sullivan | Dentist | 6785 W 38th Ave, Wheat Ridge, CO 80033 | 2007-03-02 |
| 1982746046 | Trang Xuan Ngo | Dentist | 5111 Kipling St, Ste 510, Wheat Ridge, CO 80033-2321 | 2007-02-13 |
| 1205999059 | Stewart A. Moss | Dentist | 6525 W 44th Ave, Wheat Ridge, CO 80033-4735 | 2006-12-19 |
| 1639248990 | Ronald Mann Buck | Dentist | 4350 Wadsworth Blvd #321, Wheat Ridge, CO 80033 | 2006-11-08 |
| 1467462747 | Wheat Ridge Dental Group Pllc | Dentist | 10135 W 38th Ave, Wheat Ridge, CO 80033-4003 | 2006-08-09 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
Please comment or provide details below to improve the information on DR. JOHN ANDREW WYATT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.