DR. KEVIN CHRISTOPHER WIMAN DMD
NPI 1811303183
Dentist in Jacksonville, FL

Q: What is Kevin Wiman's NPI number?

The NPI number for Kevin Wiman is 1811303183. It was assigned to this individual provider in the NPPES registry on July 8, 2014.

Q: What is Kevin Wiman's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Wiman was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since July 08, 2014PECOS Enrolled

8823 GOODBYS EXECUTIVE DR, JACKSONVILLE, FL 32217(470) 336-2612 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2026, Oct 6, 2025, Sep 12, 2025 (3 updates tracked since 2025).

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About Dr. Kevin Christopher Wiman Dmd NPPES

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

DR. KEVIN CHRISTOPHER WIMAN DMD (NPI 1811303183) is an individual dentist in Jacksonville, Florida, licensed in Florida (DN27643) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811303183

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KEVIN CHRISTOPHER WIMANCredential: DMD

Location Address8823 GOODBYS EXECUTIVE DRJacksonville, FL 32217-4605

Mailing Address8823 Goodbys Executive DrJacksonville, FL 32217-4605 · (904) 731-0432

Phone(470) 336-2612

Sole ProprietorYes

Enumeration DateJuly 8, 2014

Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration

NPPES CertifiedMarch 6, 2026

✔ NPI 1811303183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN27643

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.

8823 GOODBYS EXECUTIVE DR, Jacksonville, FL 32217

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Montana and more.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. Kevin Christopher Wiman Dmd 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 32217 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 5

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

JOSEPH ROBERT BOULTER DMD

Dentist (General Practice)