N. Stephen Wilson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30-015232 Issued in OH

Legal business name

N. STEPHEN WILSON, D.D.S.

Doing business as

Dental Health & Cosmetics

Practice address

4635 Richmond Rd Ste 100
Cleveland, OH 44128-5938

Phone

(216) 514-6205

Fax

(216) 514-6207

NPI assigned

May 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Napoleon Stephen Wilson, D.D.S.

Title

Owner

Phone

21551546205

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dental Health & Cosmetics Doing business as

Locations

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1285071829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 RICHMOND RD STE 100",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285938",
            "telephone_number": "216-514-6205",
            "fax_number": "216-514-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 RICHMOND RD STE 100",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285938",
            "telephone_number": "216-514-6205",
            "fax_number": "216-514-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N. STEPHEN WILSON, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "NAPOLEON",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "21551546205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-015232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE DENTAL BOARD",
            "identifier": "30-015232",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE DENTAL BOARD",
            "identifier": "30-013472",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE DENTAL BOARD",
            "identifier": "30-015634",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Health & Cosmetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.