Individual provider Active NPI

David Wilson, DDS

  • General Practice Dentistry
  • Asheville, NC
National Provider Identifier
1154584787
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9415 Issued in NC
Practice address
3179 Sweeten Creek Rd
Asheville, NC 28803-5504
Phone
(828) 684-1288
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24409 TX
General Practice Dentistry 1223G0001X 9207 TN
General Practice Dentistry 1223G0001X 9415 NC Primary

Addresses

Primary practice location

3179 Sweeten Creek Rd
Asheville, NC 28803-5504

Mailing address

1924 Spanish TRL
Irving, TX 75060-7337
Phone (214) 476-7915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160126001008 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1456654458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9207TNMDGeneral Practice Dentistry
24409TXMDGeneral Practice Dentistry
9415NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westmoreland & O'Kane PLLC General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dwilson148031@direct.unc.nchie.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1154584787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 SPANISH TRL",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750607337",
            "telephone_number": "214-476-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3179 SWEETEN CREEK RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288035504",
            "telephone_number": "828-684-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24409",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9207",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.