Russell Thomas Wilson, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D-5563-OR Issued in ID

Practice address

602 N Calgary CT Ste 302
Post Falls, ID 83854-4000

Phone

(208) 777-0500

NPI assigned

Sep 14, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Post Falls Orthodontics PLLC

  dba Post Falls Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Post Falls, ID
  • NPI 1093314932
  NPD
• Erik R. Curtis, DDS, Ms, PC

  dba Curtis Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Coeur d'Alene, ID
  • NPI 1245504406
  NPD (past)

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1154109825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 W BASTIEN LOOP",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157602",
            "telephone_number": "307-389-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N CALGARY CT STE 302",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544000",
            "telephone_number": "208-777-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 W Canfield Ave",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838157736",
            "country_code": "US",
            "telephone_number": "208-772-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RUSSELL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-14",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ID",
            "license": "D-5563-OR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Eugene Wigle, N.P.
• Holly Wilkerson, LMT
• Taylor Noelle Wilkinson, MD
• Laurie Williams
• Rebecca Williams, DC
• Ryan Guy Wilson, PA-C
• Antoinette Wilton, LCSW
• James Peter Winter, MD
• Jessica Witten
• Walter Wolf, PTA, PES, CES

• Orthodontics and Dentofacial Orthopedics Dentistry in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.