Wilson and Pfau Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WILSON AND PFAU FAMILY DENTISTRY LLC

Practice address

288 Northwood Ave
Jasper, IN 47546-1212

Phone

(812) 482-1855

Fax

(812) 634-6833

NPI assigned

Jun 30, 2020

Organization subpart

No

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

Authorized official

Name

Alicia Bies-Pfau

Title

Owner/Office Manager

Phone

(812) 482-1855

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

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

• Alex Pfau, D.M.D

  • Dentist
  • Jasper, IN
  • NPI 1659755197
  NPD (past)
• J. Brad Wilson, DDS

  • General Practice Dentistry
  • Jasper, IN
  • NPI 1841417706
  NPD (past)
• Kim Badell Wilson, DDS

  • General Practice Dentistry
  • Jasper, IN
  • NPI 1821215781
  NPD (past)

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1013534684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 NORTHWOOD AVE",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461212",
            "telephone_number": "812-482-1855",
            "fax_number": "812-634-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 NORTHWOOD AVE",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461212",
            "telephone_number": "812-482-1855",
            "fax_number": "812-634-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON AND PFAU FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "BIES-PFAU",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "812-482-1855"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (KIM BADELL WILSON DDS)",
            "identifier": "1821215781",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (ALEX M PFAU DMD)",
            "identifier": "1659755197",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (J BRAD WILSON DDS)",
            "identifier": "1841417706",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathirene Ann Wilcoxen, M.D.
• Scott Michael Wilhelmus, M.D.
• Jane A Will, PSYD
• William E Lehmkuhler, M.D. P.C.
• Brian Joseph Williams, RPH
• Bruce William Wilson, MD
• J. Brad Wilson, DDS
• Kim Badell Wilson, DDS
• Robert Joseph Wilson, H.I.S.
• Kathryn Wilz, MS, OTR/L

• General Practice Dentistry in Jasper, IN
• Providers in Jasper, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.