Wiley M Elick DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WILEY M ELICK DDS INC

Practice address

460 N Greenfield
Suite 9
Hanford, CA 93230

Phone

(559) 582-0238

Fax

(559) 582-9341

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer L Lewis

Title

Financial Coordinator

Phone

(559) 582-0238

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Wiley M Elick DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wiley M Elick, DDS, Inc

  dba Kids Dental Group

  • Dentist
  • Hanford, CA
  • NPI 1912350364
  NPD tax ID

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093894925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N GREENFIELD",
            "address_2": "SUITE 9",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "93230",
            "telephone_number": "559-582-0238",
            "fax_number": "559-582-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N GREENFIELD",
            "address_2": "SUITE 9",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "93230",
            "telephone_number": "559-582-0238",
            "fax_number": "559-582-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILEY M ELICK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "559-582-0238",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B2124501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Wade White, O.D.
• Jonathan White
• Leah Elizabeth Whitworth
• Brian E Wickert, D.C.
• Asela Wickremasinghe, M.D.
• Wiley M Elick, DDS, Inc (Kids Dental Group)
• Tammy Kay Wilke, D.C.
• Taylor T Williams-Nolen
• Brittany Williams, LPCC
• Claudia Rosemarie Williams, LMFT

• Dentist in Hanford, CA
• Providers in Hanford, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.