Organization Active NPI

Chris Wilson DDS, PLLC

  • General Practice Dentistry
  • Midland, TX
National Provider Identifier
1003367533
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30926 Issued in TX
Legal business name
CHRIS WILSON DDS, PLLC
Practice address
3000 N Garfield St Ste 185
Midland, TX 79705-6417
Phone
(432) 682-0565
Fax
(432) 682-9709
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Christopher Wilson, DDSNPI 1801276654
Title
Manager
Phone
(432) 682-0565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30926 TX Primary

Addresses

Primary practice location

3000 N Garfield St Ste 185
Midland, TX 79705-6417

Mailing address

3000 N Garfield St Ste 185
Midland, TX 79705-6417
Phone (432) 682-0565

National Provider Directory

National Provider Directory

Locations

3000 N Garfield St
Ste 275
Midland, TX 79705
Phone (432) 682-0565

3000 N Garfield St
Ste 185
Midland, TX 79705
Phone (432) 682-0565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1003367533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N GARFIELD ST STE 185",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797056417",
            "telephone_number": "432-682-0565",
            "fax_number": "432-682-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N GARFIELD ST STE 185",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797056417",
            "telephone_number": "432-682-0565",
            "fax_number": "432-682-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS WILSON DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "432-682-0565",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.