Organization Active NPI

Wilmes Dental, Inc.

  • Dental Clinic/Center
  • Decorah, IA
National Provider Identifier
1003669656
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WILMES DENTAL, INC.
Practice address
108 5TH Ave
Decorah, IA 52101-1319
Phone
(563) 382-3657
Fax
(563) 382-0739
NPI assigned
Apr 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Dr. John Edward Wilmes, DDS FAGDNPI 1467523639
Title
Dentist - Owner
Phone
(563) 382-3657

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

108 5TH Ave
Decorah, IA 52101-1319

Mailing address

108 5TH Ave
Decorah, IA 52101-1319
Phone (563) 382-3657

National Provider Directory

National Provider Directory

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": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1003669656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 5TH AVE",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521011319",
            "telephone_number": "563-382-3657",
            "fax_number": "563-382-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 5TH AVE",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521011319",
            "telephone_number": "563-382-3657",
            "fax_number": "563-382-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMES DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "WILMES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DENTIST - OWNER",
        "authorized_official_telephone_number": "563-382-3657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS FAGD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decorah, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.