NPIMap

Organization Active NPI

Dr Wilson and Dr Krause, LLC

  • Dentist
  • Warren, OH
National Provider Identifier
1053795294
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19817 Issued in OH
Legal business name
DR WILSON AND DR KRAUSE, LLC
Practice address
8401 Howland Springs Rd SE
Warren, OH 44484-3120
Phone
(330) 856-2177
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Dr. Thomas WilsonNPI 1487884375
Title
Member
Phone
(330) 856-2177

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19817 OH Primary

Addresses

Primary practice location

8401 Howland Springs Rd SE
Warren, OH 44484-3120

Mailing address

8401 Howland Springs Rd SE
Warren, OH 44484-3120
Phone (330) 856-2177

National Provider Directory

National Provider Directory

Locations

8401 Howland Springs Rd SE
Warren, OH 44484
Phone (330) 856-2177

Practitioners & affiliated clinicians

Practitioners 2

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": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1053795294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 HOWLAND SPRINGS RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843120",
            "telephone_number": "330-856-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 HOWLAND SPRINGS RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843120",
            "telephone_number": "330-856-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WILSON AND DR KRAUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "330-856-2177",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "19817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.