Organization Active NPI

Patrick B. Wilcox D.D.S, Pediatric Dentistry

  • Dentist
  • Edinburg, TX
National Provider Identifier
1225360191
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15114 Issued in TX
Legal business name
PATRICK B. WILCOX D.D.S, PEDIATRIC DENTISTRY
Practice address
2501 Cornerstone Blvd
Edinburg, TX 78539-8463
Phone
(956) 686-8611
Fax
(956) 686-2668
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Dr. Patrick B WilcoxNPI 1003897257
Title
D.D.S
Phone
(956) 686-8611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 15114 TX Primary

Addresses

Primary practice location

2501 Cornerstone Blvd
Edinburg, TX 78539-8463

Mailing address

2501 Cornerstone Blvd
Edinburg, TX 78539-8463
Phone (956) 686-8611

Other identifiers 1

IdentifierTypeStateIssuer
120793801MedicaidTX

National Provider Directory

National Provider Directory

Locations

2501 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 329-7730

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1225360191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398463",
            "telephone_number": "956-686-8611",
            "fax_number": "956-686-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398463",
            "telephone_number": "956-686-8611",
            "fax_number": "956-686-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK B. WILCOX D.D.S, PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "D.D.S",
        "authorized_official_telephone_number": "956-686-8611",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "15114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120793801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.