Jody Wrathall, D.D.S., M.S.
NPI 1306142815 · Pediatric Dentistry · Portage, MI
Enrolled with Medicare as Order and Referring Only - Other (physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jody Wrathall, D.D.S., M.S. is a Pediatric Dentistry provider in Portage, MI (NPI 1306142815).
Provider details
- NPI number
- 1306142815
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S., M.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2901020339 (MI)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 6121 S. Westnedge Ave.Portage, MI 49002Phone: (269) 323-8016Fax: (269) 383-8524
Registry dates
- Enumerated
- 2011-01-31
- Last updated
- 2018-03-17
Frequently asked questions
- What is Jody Wrathall's NPI number?
- Jody Wrathall's National Provider Identifier (NPI) is 1306142815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jody Wrathall's specialty?
- Jody Wrathall is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Jody Wrathall located?
- Jody Wrathall's practice location on file with NPPES is 3020 Old Centre Rd, Portage, MI 49024.
- What is Jody Wrathall's phone number?
- The practice phone number listed in the NPPES registry for Jody Wrathall is (269) 328-8016.
- Does Jody Wrathall accept Medicare?
- Jody Wrathall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jody Wrathall's NPI active?
- Yes — Jody Wrathall's NPI (1306142815) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.