Active NPI
Robert McLain Wilkinson Jr., D.D.S.
- General Practice Dentistry
- Winston Salem, NC
National Provider Identifier
1306903760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5784
- Practice address
- 1900 S Hawthorne Rd
Suite 170
Winston Salem, NC 27103-3913 - Phone
- (336) 765-9247
- Fax
- (336) 765-6960
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5784 | NC | Primary |
Addresses
Primary practice location
1900 S Hawthorne Rd
Suite 170
Winston Salem, NC 27103-3913
Mailing address
1900 S Hawthorne Rd
Suite 170
Winston Salem, NC 27103-3913
Phone (336) 765-9247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8999290 | Medicaid | NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306903760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 S HAWTHORNE RD",
"address_2": "SUITE 170",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033913",
"telephone_number": "336-765-9247",
"fax_number": "336-765-6960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 S HAWTHORNE RD",
"address_2": "SUITE 170",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033913",
"telephone_number": "336-765-9247",
"fax_number": "336-765-6960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "ROBERT",
"middle_name": "MCLAIN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "5784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8999290",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
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.