DR. PATRICK RAY WYATT (NPI# 1467503128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467503128 |
| Entity Type | Individual |
| Full Name | DR. PATRICK RAY WYATT |
| Credential | D.D.S. |
| Practice Address |
12528 Warwick Blvd Suite F Newport News VA 23606-2676 |
| Practice Telephone | 7575957990 |
| Practice Fax Number | 7575957991 |
| Mailing Telephone | 7575957990 |
| Mailing Fax Number | 7575957991 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
05498 | VA | Dental Providers |
| Street Address |
12528 WARWICK BLVD SUITE F |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23606-2676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629147640 | Care Advantage, Inc | Home Health | 12528 Warwick Blvd, Newport News, VA 23606-2676 | 2006-11-06 |
| 1447515069 | John L. Matney Orthodontist, Inc | Dentist | 12528 Warwick Blvd, Newport News, VA 23606-2676 | 2012-07-10 |
| 1508079468 | Martin J Menges Jr Dds | Dentist | 12528 Warwick Blvd, Newport News, VA 23606-2676 | 2007-05-08 |
| 1154534329 | John Lee Matney | Dentist | 12528 Warwick Blvd, Newport News, VA 23606 | 2007-05-07 |
| 1336262666 | Martin J Menges Jr. | Dentist | 12528 Warwick Blvd, St C, Newport News, VA 23606-2676 | 2007-04-10 |
| 1124145198 | Kenneth James Mello | Dentist | 12528 Warwick Blvd, Suite D, Newport News, VA 23606-2676 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
| 1457907453 | Children of The Kingdom Home Health Care Services LLC | Home Health | 11834 Cannon Blvd., Ste I-4, Newport News, VA 23606 | 2019-08-15 |
| 1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
| 1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
| 1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
| 1447753959 | Milov Margaret Sonnier | Social Worker | 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 | 2018-03-10 |
| 1033627740 | F&n Home Health Agency, LLC | Home Health | 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 | 2018-01-16 |
| 1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
| 1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
| 1982043345 | Kreative Milestones Behavioral Healthcare Services | Clinic/Center | 12388 Warwick Blvd Ste 306, Newport News, VA 23606 | 2013-06-19 |
| Find all providers in zip 23606 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073651451 | Judy R Lynch | Dentist | 401 Oyster Point Rd Ste D, Newport News, VA 23602-6926 | 2007-02-01 |
| 1518992130 | Loretta Karen Rubenstein | Dentist | 12725 Mcmanus Blvd Ste 1b, Newport News, VA 23602-4402 | 2006-07-12 |
| 1194219659 | Cjswihart, Pllc | Dentist | 12725 Mcmanus Blvd Ste 1b, Newport News, VA 23602-4402 | 2018-06-19 |
| 1760771679 | Peninsula Orthodontics, PC | Dentist | 401 Oyster Point Rd, Suite D, Newport News, VA 23602-6926 | 2011-03-31 |
| 1710173620 | David Lawson Forrest | Dentist | 729 Thimble Shoals Blvd, 7a, Newport News, VA 23606-4217 | 2007-09-25 |
| 1861690901 | Lkrubenstein Pllc | Dentist | 12725 Mcmanus Blvd Ste 1b, Newport News, VA 23602-4402 | 2007-07-10 |
| 1154534329 | John Lee Matney | Dentist | 12528 Warwick Blvd, Newport News, VA 23606 | 2007-05-07 |
| 1679615397 | Steven Anson Reese | Dentist | 401 Oyster Point Rd Ste D, Newport News, VA 23602-6926 | 2007-02-12 |
| 1215075601 | Vicki A Ross | Dentist | 401 Oyster Point Rd Ste D, Newport News, VA 23602-6926 | 2007-02-01 |
| 1508977786 | Daniel Mark Babcock | Dentist | 640 Denbigh Blvd, Suite 1, Newport News, VA 23608-4485 | 2006-08-31 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23606 |
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| 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.