Rex Elwyn Wildey, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

25425 Issued in TX

Practice address

10003 NW Military Hwy
Suite 3201
San Antonio, TX 78231

Phone

(210) 417-4181

Fax

(210) 417-4181

NPI assigned

May 28, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Untie PLLC

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1508639766
  NPD Authorized official
• RWPK PLLC

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1356762223
  NPD (past) Authorized official
• Jetty United PLLC

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1225797467
  NPD (past)

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1306165378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10003 NW MILITARY HWY",
            "address_2": "SUITE 3201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311885",
            "telephone_number": "210-417-4181",
            "fax_number": "210-417-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10003 NW MILITARY HWY",
            "address_2": "SUITE 3201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78231",
            "telephone_number": "210-417-4181",
            "fax_number": "210-417-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDEY",
        "first_name": "REX",
        "middle_name": "ELWYN",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25425",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "25425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolen Wilder
• James L Wilder, MD
• Janna Wilder, M.D.
• Wilderness-Hardy Oak Medical Center, LLC
• Wildernss Oak Family Dentistry
• Wildflower Counseling & Play Therapy PLLC
• McKay Wilding
• Frederic Daniel Wile, M.D.
• Rachael Lynn Wiles, PHARM.D.
• Wade Wiles, PHARMD

• Pediatric Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.