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DR. JODY LYNN WRATHALL D.D.S., M.S.
NPI 1306142815
Dentist - Pediatric Dentistry in Portage, MI

Active since January 31, 2011PECOS Enrolled
3020 OLD CENTRE RD, PORTAGE, MI 49024(269) 328-8016(269) 323-8524 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Oct 23, 2017, Feb 17, 2016 (3 updates tracked since 2016).

About Dr. Jody Lynn Wrathall D.d.s., M.s. NPPES

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

DR. JODY LYNN WRATHALL D.D.S., M.S. (NPI 1306142815) is an individual pediatric dentistry provider in Portage, Michigan, licensed in Michigan (2901020339) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portage.

NPPES Registry Identity

NPI1306142815
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JODY LYNN WRATHALLCredential: D.D.S., M.S.
Location Address3020 OLD CENTRE RDPortage, MI 49024
Mailing Address3020 Old Centre Rd.Portage, MI 49024 · (269) 323-8016 · Fax (269) 323-8524
Phone(269) 328-8016
Fax(269) 323-8524
Sole ProprietorYes
Enumeration DateJanuary 31, 2011
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1306142815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MI · 2901020339
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License 2901020339 (MI)
3020 OLD CENTRE RD, Portage, MI 49024
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Jody Lynn Chapman D.d.s.

Secondary Practice Location 1

Location 16121 S. Westnedge Ave.Portage, MI 49002 · Phone (269) 323-8016 · Fax (269) 383-8524

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jody Lynn Wrathall D.d.s., M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CBMI2 PLLC
Dentist (Pediatric Dentistry)
3020 OLD CENTRE RD
PORTAGE, MI 49024
Kalamazoo County (269) 323-8016
JACKIE HWANG
Dentist (Pediatric Dentistry)
3020 OLD CENTRE RD
PORTAGE, MI 49024
Kalamazoo County (269) 323-8016

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 Jody Wrathall's NPI number?

The NPI number for Jody Wrathall is 1306142815. It was assigned to this individual provider in the NPPES registry on January 31, 2011. The provider is also known as Ms. Jody Lynn Chapman D.D.S..

Where is Jody Wrathall located?

Jody Wrathall practices at 3020 Old Centre Rd, Portage, MI 49024. The listed phone number is (269) 328-8016.

What is Jody Wrathall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jody Wrathall enrolled in Medicare?

Yes. Jody Wrathall is registered in the Medicare PECOS enrollment system.

What insurance does Jody Wrathall accept?

Health plans from Delta Dental of Michigan list Jody Wrathall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jody Wrathall was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.