Individual provider Active NPI

William Carrel Wilson, DVM

  • Veterinarian
  • Riverton, WY
National Provider Identifier
1003188517
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
650 Issued in WY
Practice address
1599 Major Ave
Riverton, WY 82501-2326
Phone
(307) 856-3298
Fax
(307) 856-5014
NPI assigned
Jan 30, 2012
Last updated
Jan 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 650 WY Primary

Addresses

Primary practice location

1599 Major Ave
Riverton, WY 82501-2326

Mailing address

1599 Major Avenue
Riverton, WY 82501
Phone (307) 856-3298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1003188517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 MAJOR AVENUE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "82501",
            "telephone_number": "307-856-3298",
            "fax_number": "307-856-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 MAJOR AVE",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012326",
            "telephone_number": "307-856-3298",
            "fax_number": "307-856-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "WILLIAM",
        "middle_name": "CARREL",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "WY",
            "license": "650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.