Brett Wilson DDS LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BRETT WILSON DDS LLC

Practice address

5227 S Main St Ste D
Joplin, MO 64804-4916

Phone

(417) 622-0004

NPI assigned

Jun 28, 2021

Last updated

Jun 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brett Michael WilsonNPI 1699759175

Title

Dentist

Phone

(417) 622-0004

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brett Michael Wilson, D.D.S.

  • Pediatric Dentistry
  • Joplin, MO
  • NPI 1699759175
  NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1306416813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5227 S MAIN ST STE D",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044916",
            "telephone_number": "417-622-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5227 S MAIN ST STE D",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044916",
            "telephone_number": "417-622-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT WILSON DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "417-622-0004",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johni-Marie Breeze, OTR
• George S Brehm, M.D.
• Kassidi Bremer, APN
• Eric Travis Bresee, PHARMACIST
• Pedro Bretas
• Lizbeth Ruby-Marie Brice, M.D., PHARM.D.
• Connor Michael Bridge, DO
• Kali Bridges, RN, CFNP
• Bryan John Bridgford, PHARMD
• Wendy Jon Briggs, PLPC

• Pediatric Dentistry in Joplin, MO
• Providers in Joplin, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.