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JEFFREY C WIGHT DDS PLLC
NPI 1174241053
Dentist - Orofacial Pain in Mesa, AZ

Active since August 17, 2022
4135 S POWER RD STE 101, MESA, AZ 85212(480) 588-2188 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jeffrey C Wight Dds Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY C WIGHT DDS PLLC (NPI 1174241053) is a healthcare organization registered as an orofacial pain in Mesa, Arizona and active in the NPI registry since August 2022. The organization lists Jeffrey Wight, Owner-provider, as its authorized official.

NPPES Registry Identity

NPI1174241053
Entity TypeOrganization
Primary Taxonomy1223X2210X
Legal Business NameJEFFREY C WIGHT DDS PLLC
Location Address4135 S POWER RD STE 101Mesa, AZ 85212-3625
Mailing Address4135 S Power Rd Ste 101Mesa, AZ 85212-3625 · (480) 588-2188
Phone(480) 588-2188
Organization SubpartNo
Authorized OfficialJeffrey WightOwner-provider · (480) 588-2188
Enumeration DateAugust 17, 2022
NPPES CertifiedAugust 17, 2022
✔ NPI 1174241053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
4135 S POWER RD STE 101, Mesa, AZ 85212
Open in Google Maps ↗

Other Identifiers 1

OtherD07838AZ · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey C Wight Dds Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeffrey C Wight DDS PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffrey Wight, DDS
Oral Surgery
NPI 1043541907
4135 S POWER RD STE 101
Mesa, AZ 85212
(480) 588-2188
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey C Wight Dds PLLC's NPI number?

The NPI number for Jeffrey C Wight Dds PLLC is 1174241053. It was assigned to this organization in the NPPES registry on August 17, 2022.

Where is Jeffrey C Wight Dds PLLC located?

Jeffrey C Wight Dds PLLC is located at 4135 S Power Rd Ste 101, Mesa, AZ 85212. The listed phone number is (480) 588-2188.

What is Jeffrey C Wight Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Jeffrey C Wight Dds PLLC enrolled in Medicare?

Yes. Jeffrey C Wight Dds PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeffrey C Wight Dds PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Jeffrey C Wight Dds PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey C Wight Dds PLLC was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.