Carol A Wilson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

8377 Issued in KY

Practice address

100 Lake St
Nicholasville, KY 40356-1002

Phone

(859) 885-5703

Fax

(859) 885-5703

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Carol a. Wilson, DMD, PLLC

  • Dentist
  • Nicholasville, KY
  • NPI 1114299047
  NPD (past) Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1114054541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 KENTON CT",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569096",
            "telephone_number": "859-492-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKE ST",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561002",
            "telephone_number": "859-885-5703",
            "fax_number": "859-885-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CAROL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8377",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8377",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100094910",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Wilkinson
• Donna Williams
• James Kenneth Williams, LPCC
• Michelle Wills, PHARMD
• Kimberly Anne Wilson-Mackey, R.PH.
• Kathleen R Wilson, ATC
• Melissa M Wilson, PT
• Nathan Paul Wilson, DMD
• Samantha Lee Wilson, LPCC
• Zilda Brewer Wilson, M.A., CCC/SLP

• Dentist in Nicholasville, KY
• Providers in Nicholasville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.