Active NPI
Margaret B. Wilson, DDS
- Dentist
- Greenville, NC
National Provider Identifier
1285900829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0103
- Practice address
- Lakeside Annex #7
East Carolina University School of Dental Medicine
Greenville, NC 27834-4354 - Phone
- (252) 737-7210
- NPI assigned
- Mar 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0103 | NC | Primary |
| Dentist | 122300000X | 7675 | MD |
Addresses
Primary practice location
Lakeside Annex #7
East Carolina University School of Dental Medicine
Greenville, NC 27834-4354
Mailing address
Lakeside Annex #7, Ms 701
East Carolina University School of Dental Medicine
Greenville, NC 27834-4354
Phone (252) 737-7210
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160119001707 | NC | Order and Referring Only - Oral Surgery | 3072816487 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7675 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1285900829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LAKESIDE ANNEX #7, MS 701",
"address_2": "EAST CAROLINA UNIVERSITY SCHOOL OF DENTAL MEDICINE",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278344354",
"telephone_number": "252-737-7210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LAKESIDE ANNEX #7",
"address_2": "EAST CAROLINA UNIVERSITY SCHOOL OF DENTAL MEDICINE",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278344354",
"telephone_number": "252-737-7210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MARGARET",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "0103",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "7675",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.