Organization Active NPI

Sarah K Wilson DDS PLLC

  • General Practice Dentistry
  • Roanoke, VA
National Provider Identifier
1275268161
Registry record updated Jul 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SARAH K WILSON DDS PLLC
Practice address
4231 Colonial Ave
Roanoke, VA 24018-4025
Phone
(540) 989-4698
NPI assigned
Jul 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2022

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

Authorized official

Name
Sarah K Wilson, DDSNPI 1568756559
Title
Owner
Phone
(804) 405-3805

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4231 Colonial Ave
Roanoke, VA 24018-4025

Mailing address

4231 Colonial Ave
Roanoke, VA 24018-4025
Phone (540) 989-4698

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1658620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658620800000",
    "number": "1275268161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 COLONIAL AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184025",
            "telephone_number": "540-989-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 COLONIAL AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184025",
            "telephone_number": "540-989-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH K WILSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-405-3805",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; 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.