Active NPI
Patrick B. Wilcox D.D.S, Pediatric Dentistry
- Dentist
- Edinburg, TX
National Provider Identifier
1225360191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15114
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patrick B Wilcox
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120793801 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dentistry
- Edinburg, TX
- NPI 1003897257
-
- Pediatric Dentistry
- Edinburg, TX
- NPI 1023523172
-
- Dentist
- Wellington, FL
- NPI 1164528147
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.