Active NPI
Toby Scott Wilson, D.D.S., M.S.
- Endodontics
- Dayton, OH
National Provider Identifier
1306831201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 30-021383
- Practice address
- 4641 Presidential Way
Dayton, OH 45429-5765 - Phone
- (937) 312-1491
- Fax
- (937) 312-1914
- NPI assigned
- Sep 16, 2005
- Reactivated
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 30-021383 | OH | Primary |
Addresses
Primary practice location
4641 Presidential Way
Dayton, OH 45429-5765
Mailing address
6877 State Route 48
Springboro, OH 45066-9782
Phone (937) 886-1458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-021383 | OH | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306831201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6877 STATE ROUTE 48",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450669782",
"telephone_number": "937-886-1458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4641 PRESIDENTIAL WAY",
"city": "DAYTON",
"state": "OH",
"postal_code": "454295765",
"telephone_number": "937-312-1491",
"fax_number": "937-312-1914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "TOBY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2007-07-08",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OH",
"license": "30-021383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.