Active NPI
D Neil Wilson D.D.S. M.S. PA
- Endodontics
- Vero Beach, FL
National Provider Identifier
1083867584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN14498
- Legal business name
- D NEIL WILSON D.D.S. M.S. PA
- Practice address
- 2025 35TH Ave
Suite B
Vero Beach, FL 32960-2421 - Phone
- (772) 299-4179
- Fax
- (772) 299-4577
- NPI assigned
- Oct 28, 2008
- Last updated
- Oct 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenda M Caley
- Title
- Secretary
- Phone
- (772) 299-4179
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN14498 | FL | Primary |
| Periodontics | 1223P0300X | DN16531 | FL |
Addresses
Primary practice location
2025 35TH Ave
Suite B
Vero Beach, FL 32960-2421
Mailing address
2025 35TH Ave
Suite B
Vero Beach, FL 32960-2421
Phone (772) 299-4179
National Provider Directory
National Provider DirectoryLocations
2025 35th Ave
Ste B
Vero Beach, FL 32960
Phone (772) 299-4179
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Periodontics
- Vero Beach, FL
- NPI 1851585640
-
- Endodontics
- Vero Beach, FL
- NPI 1548233810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225152000000",
"number": "1083867584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 35TH AVE",
"address_2": "SUITE B",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329602421",
"telephone_number": "772-299-4179",
"fax_number": "772-299-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 35TH AVE",
"address_2": "SUITE B",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329602421",
"telephone_number": "772-299-4179",
"fax_number": "772-299-4577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D NEIL WILSON D.D.S. M.S. PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A",
"authorized_official_last_name": "CALEY",
"authorized_official_first_name": "GLENDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "772-299-4179",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN14498",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN16531",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
- Erin Cusson
- William Miller Cutler, M.D.
- Evelyn Grace Cutting, APRN, FNP-C
- Cynthia S. Crawford, M.D. PA (Florida Rehabilitation Institute)
- Cypress Center Pharmacy, Inc. (Corey's Pharmacy)
- Sherri A D'Alessio, A.P., D.O.M.
- D&S Enterprises of Vero Beach LLC (Millers Health Mart Pharmacy)
- D&S Enterprises of Vero Beach LLC (Millers Health Mart Pharmacy)
- Ryan Michael Dahlgren, MD
- Courtney Marie Daigle, AU.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.