Andrew Scott Wilcox, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-12233 Issued in MN

Practice address

1201 Franklin Ave
Sauk Rapids, MN 56379-1226

Phone

(320) 253-4242

Fax

(320) 253-7778

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wilcox Family Dentistry

  • Dental Clinic/Center
  • Sauk Rapids, MN
  • NPI 1710546502
  NPD Authorized official
• Welch Dental Care PA

  • Dentist
  • Sartell, MN
  • NPI 1922854744
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1043370422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 FRANKLIN AVE",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791226",
            "telephone_number": "320-253-4242",
            "fax_number": "320-253-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FRANKLIN AVE",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791226",
            "telephone_number": "320-253-4242",
            "fax_number": "320-253-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12233",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D-12233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "368274900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Lane Vogt, LSW
• Walgreen Co
• Well Fed Co. LLC
• Judith Ann Welter, RN
• Wilcox Family Dentistry
• Scott Robert Wilcox, DDS
• Shane Winkelman
• Erika Leigh Yancey, D.C.
• Jessica Leigh Zack
• Michael Zyvoloski, PHARM. D.

• General Practice Dentistry in Sauk Rapids, MN
• Providers in Sauk Rapids, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.