Individual provider Active NPI

Margaret B. Wilson, DDS

  • Dentist
  • Greenville, NC
National Provider Identifier
1285900829
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0103 Issued in NC
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

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160119001707 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3072816487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7675MDMDDentist

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

Verify at the official NPI Registry.