DR. BRADLEY GENE WHEELIS DDS NPI 1538273362

Dentist (General Practice) in Melbourne, AR

NPI 1538273362 Individual Male Dentist General Practice

About BRADLEY WHEELIS

Bradley Wheelis is a provider established in Melbourne, Arkansas and his medical specialization is dentist (general practice) . The NPI number of Bradley Wheelis is 1538273362 and was assigned on August 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 3048 (AR). The provider is registered as an individual and his NPI record was last updated 14 years ago.

A dentist like Dr. Bradley Gene Wheelis Dds is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Bradley Wheelis is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1538273362

Provider NameDR. BRADLEY GENE WHEELIS DDS
Provider Location Address1010 MAIN ST. MELBOURNE, AR 72556
Provider Mailing AddressPO BOX 1074 MELBOURNE, AR 72556
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date08-18-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.3048
License StateAR
Taxonomy DescriptionA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Business Address

DR. BRADLEY GENE WHEELIS DDS
1010 MAIN ST.
MELBOURNE, AR
ZIP 72556
Phone: (870) 368-5551
Fax: (870) 368-5554

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Mailing Address

DR. BRADLEY GENE WHEELIS DDS
PO BOX 1074
MELBOURNE, AR
ZIP 72556
Phone: (870) 368-5551
Fax: (870) 368-5554



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
884634OTHER (01)
58698OTHER (01)AR

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.