C. Todd Wilson D.D.S.P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D7723 Issued in OR

Legal business name

C. TODD WILSON D.D.S.P.C.

Practice address

17680 SW Handley Street
Suite 202
Sherwood, OR 97140-8795

Phone

(503) 925-1566

Fax

(503) 925-1576

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Dava J. Wilson

Title

Office Manager

Phone

(503) 925-1566

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.

• Christopher Todd Wilson, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sherwood, OR
  • NPI 1285992057
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1316164056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17680 SW HANDLEY STREET",
            "address_2": "SUITE 202",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408795",
            "telephone_number": "503-925-1566",
            "fax_number": "503-925-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17680 SW HANDLEY STREET",
            "address_2": "SUITE 202",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408795",
            "telephone_number": "503-925-1566",
            "fax_number": "503-925-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. TODD WILSON D.D.S.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAVA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-925-1566",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D7723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Brown
• Lindsey Ree Brunken
• Myongsuk Brunner, OTR/L
• Janice E Buenafe, MD
• Tracie Carol Butterfield
• Christian Calaguas, RD
• Justin Kevin Calderon
• Marilia Campos, MD
• Carcon (Massage Envy)
• Melissa P Carlton, LMT

• Orthodontics and Dentofacial Orthopedics Dentistry in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.