RC & Sa Wilson DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5060 Issued in NE

Legal business name

RC & SA WILSON DDS PC

Practice address

13215 Birch Dr
Suite 101
Omaha, NE 68164-5431

Phone

(402) 498-8804

Fax

(402) 498-8838

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Heidi Hackel

Title

Office Manager

Phone

(402) 498-8804

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert C. Wilson, D.D.S.

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1821004912
  NPD (past)
• Sharlene Wilson, D.D.S.

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1215074240
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1114063443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13215 BIRCH DR",
            "address_2": "SUITE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645431",
            "telephone_number": "402-498-8804",
            "fax_number": "402-498-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 BIRCH DR",
            "address_2": "SUITE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645431",
            "telephone_number": "402-498-8804",
            "fax_number": "402-498-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RC & SA WILSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "HACKEL",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-498-8804"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5060",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Lenea Raymond, LIMHP
• Laurence Matthew Raynor, MD
• Mary C Raynor, APRN-CRNA
• Stephen C Raynor, MD
• Stephany Razo
• RCR Counseling LLC
• Re-New Institute LLC
• Chad Allan Reade, M.D.
• Sydney Readman
• Jada Ready

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.