Douglass Charles Wilson, D.M.D

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3428 Issued in NH

Practice address

69 Island St Ste Q
Keene, NH 03431-3507

Phone

(603) 352-0255

Fax

(603) 352-6262

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dixon Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Keene, NH
  • NPI 1326159609
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1104959519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ISLAND ST STE Q",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313507",
            "telephone_number": "603-352-0255",
            "fax_number": "603-352-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ISLAND ST STE Q",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313507",
            "telephone_number": "603-352-0255",
            "fax_number": "603-352-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DOUGLASS",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NH",
            "license": "3428",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VT",
            "license": "016-0002204",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "22063",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000423",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009708",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienne Jean Williams, APRN
• Gail Eileen Williams, MS
• Arnold J Willis, MD
• Sarah Hart Wills, LICSW
• Donald V. Wilson, MD
• Heidi Ann Wilson
• Jewel P Wilson
• Lauren Wilson, BA
• Nicole Wing
• Jill Marie Winslow, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Keene, NH
• Providers in Keene, NH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.