WYATT CHECKETTS
NPI 1477940351
Dentist in Jacksonville, TX

Active since April 19, 2015PECOS Enrolled
408 WYNN DR, JACKSONVILLE, TX 75766(903) 586-6829(903) 589-3728 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wyatt Checketts NPPES

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

WYATT CHECKETTS (NPI 1477940351) is an individual dentist in Jacksonville, Texas, licensed in Texas (30949) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477940351
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameWYATT CHECKETTS
Location Address408 WYNN DRJacksonville, TX 75766-4976
Mailing Address408 Wynn DrJacksonville, TX 75766-4976 · (208) 201-4148 · Fax (903) 589-3728
Fax(903) 589-3728
Sole ProprietorNo
Enumeration DateApril 19, 2015
Last NPPES UpdateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
NPI 1477940351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TX · 30949
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

408 WYNN DR, Jacksonville, TX 75766

Accepted 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)

Wyatt Checketts 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 75766 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 3

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

Dentist
408 WYNN DR
JACKSONVILLE, TX 75766
Dentist
408 WYNN DR
JACKSONVILLE, TX 75766
Dentist (General Practice)
408 WYNN DR
JACKSONVILLE, TX 75766

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477940351, enumerated as an "individual" on April 19, 2015.

The provider is located at 408 WYNN DR JACKSONVILLE, TX 75766 and the phone number is (903) 586-6829.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.