Active NPI
Kameron Wilding, DDS
- Periodontics
- Garland, TX
National Provider Identifier
1073243242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 41896
- Practice address
- 650 Beebalm LN Ste 265
Garland, TX 75040-3008 - Phone
- (972) 272-6543
- NPI assigned
- Jun 12, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 41896 | TX | Primary |
Addresses
Primary practice location
650 Beebalm LN Ste 265
Garland, TX 75040-3008
Mailing address
650 Beebalm LN Ste 265
Garland, TX 75040-3008
Other practice location 1
2200 Traders Rd Ste 301302
Greenville, TX 75402-8314
Phone (903) 231-2888
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc School of Dentistry | Past | Accepting new patients |
Interoperability endpoints
- kwilding899679@direct.unc.nchie.net
Organizations & group practices 1
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.
-
- Dentist
- Chapel Hill, NC
- NPI 1255783197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1073243242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 BEEBALM LN STE 265",
"city": "GARLAND",
"state": "TX",
"postal_code": "750403008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 BEEBALM LN STE 265",
"city": "GARLAND",
"state": "TX",
"postal_code": "750403008",
"telephone_number": "972-272-6543"
}
],
"practiceLocations": [
{
"address_1": "2200 Traders Rd Ste 301302",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "TX",
"postal_code": "754028314",
"country_code": "US",
"telephone_number": "903-231-2888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILDING",
"first_name": "KAMERON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-12",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "41896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.