TARA J WHEELER DMD LLC (NPI# 1477848596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477848596 |
| Entity Type | Organization |
| Organization Name | TARA J WHEELER DMD LLC |
| Other Organization Name | WHEELER FAMILY DENTAL |
| Practice Address |
2127 N Hickory St Suite D Loxley AL 36551-2411 |
| Mailing Address |
520 2nd Ave Pleasant Grove AL 35127-1757 |
| Practice Telephone | 2519642671 |
| Practice Fax Number | 2519642673 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |
| Authorized Official Name | TARA J WHEELER (OWNER, DENTIST) |
| Authorized Official Telephone | 2056160419 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5751 | AL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wheeler Family Dental | Doing Business As Name - Organization |
| Street Address |
2127 N HICKORY ST SUITE D |
| City | LOXLEY |
| State | AL |
| Zip Code | 36551-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639737588 | Sarah M Bogdanovich | Social Worker | 2127 N Hickory St, Loxley, AL 36551-2411 | 2019-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265513477 | Steven M Craine | Dentist | 2122 South Hickory Street, Loxley, AL 36551 | 2006-10-17 |
| 1275637415 | Robert W. Barnhill | Pharmacist | 2140 Relham Avenue, Loxley, AL 36551 | 2006-09-08 |
| 1518929819 | Louis Alojz Berec | Family Medicine | 1083 E Relham Dr, Loxley Family Medical Center, Loxley, AL 36551 | 2006-04-04 |
| 1447229208 | Franklin Primary Health Center, Inc. | General Practice | 1083 East Relham Dr, Loxley, AL 36551 | 2006-03-15 |
| 1336277615 | Philip Michael Dembowski | Chiropractor | 1071 N. Hickory - Hwy 59, Loxley, AL 36551-0374 | 2007-03-01 |
| 1982886727 | Loxley Family Dental Center | Dentist | 3147 First Avenue, Loxley, AL 36551-2406 | 2007-12-04 |
| 1942253745 | Jennifer Pugh Wright | Family Medicine | 1083 E Relham Ave, Loxley, AL 36551-2406 | 2006-05-19 |
| 1295196251 | Kelli Gillman | Nurse Practitioner | 1083 E Relham Dr, Loxley, AL 36551-2406 | 2016-03-17 |
| 1346680816 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1083 E Relham Ave, Loxley, AL 36551-2406 | 2013-06-28 |
| 1861837437 | Shandi Shiver | Nurse Practitioner | 1083 E Relham Ave, Loxley, AL 36551-2406 | 2013-05-08 |
| Find all providers in zip 36551 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192476 | Jacob L Turner Dmd PC | Clinic/Center | 100 A Andrew Street, Albertville, AL 35950 | 2020-10-23 |
| 1538775150 | Grants Mill Family Dentistry, LLC | Clinic/Center | 1024 Grants Mill Rd, Irondale, AL 35210-2108 | 2020-09-18 |
| 1164035341 | William M Colburn Dmd PC | Clinic/Center | 2810 20th Ave Ste A, Northport, AL 35476-3835 | 2020-08-26 |
| 1689295339 | Liles Family Dentistry, LLC | Clinic/Center | 2234 Ogletree Village Ln, Auburn, AL 36830-2967 | 2020-05-05 |
| 1184251100 | Big Wave Dentistry LLC | Clinic/Center | 110 S Alston St, Foley, AL 36535-1912 | 2020-03-27 |
| 1952934226 | Red Mountain Pediatric Dentistry | Clinic/Center | 2836 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-02-14 |
| 1467085837 | Brooke Jordan Dds LLC | Clinic/Center | 101 Missionary Rdg Ste 101, Birmingham, AL 35242-5203 | 2020-02-13 |
| 1881225829 | Bell Road Dentistry LLC | Clinic/Center | 2642 Bell Rd, Montgomery, AL 36117-4375 | 2020-01-29 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1609417195 | Rocket City Dental | Clinic/Center | 112 Lily Flagg Rd Sw Ste B, Huntsville, AL 35802-3040 | 2019-10-05 |
| Find all providers with the same taxonomy | ||||
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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.