Individual provider Active NPI

Arthur Charles Wulwick, D.DS.

  • Dentist
  • Carrollton, TX
National Provider Identifier
1063514826
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12774 Issued in TX
Practice address
2630 North Josey Lane;
Suite #114
Carrollton, TX 75007-5541
Phone
(972) 245-4546
Fax
(972) 446-0586
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12774 TX Primary

Addresses

Primary practice location

2630 North Josey Lane;
Suite #114
Carrollton, TX 75007-5541

Mailing address

2630 North Josey Lane;
Suite #114
Carrollton, TX 75007-5541
Phone (972) 245-4546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12774TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1063514826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 NORTH JOSEY LANE;",
            "address_2": "SUITE #114",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075541",
            "telephone_number": "972-245-4546",
            "fax_number": "972-446-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 NORTH JOSEY LANE;",
            "address_2": "SUITE #114",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075541",
            "telephone_number": "972-245-4546",
            "fax_number": "972-446-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULWICK",
        "first_name": "ARTHUR",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.DS.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "12774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.