Carol E Wilkins, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14835 Issued in MA

Practice address

401 Broadway
Chicopee, MA 01020-2454

Phone

(413) 592-0228

Fax

(413) 592-8102

NPI assigned

Jun 10, 2005

Last updated

Aug 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1326042920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BROADWAY",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010202454",
            "telephone_number": "413-592-0228",
            "fax_number": "413-592-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BROADWAY",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010202454",
            "telephone_number": "413-592-0228",
            "fax_number": "413-592-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "CAROL",
        "middle_name": "E",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "020014835MA01",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED  CONCORDIA",
            "identifier": "447199",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "X05208",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western Mass Headache Care PLLC
• Western Mass Physician Associates Inc (Holyoke Medical Group Walk-In Care)
• Western Mass Physician Associates Inc (Holyoke Medical Group)
• Western Massachusetts Magnetic Resonance Services LLC
• Joshua Gerard Whitman
• Evangeline Beth Williams, MSW
• Jose Wint
• Mariah Leeanna Winterle
• Ariana Marie Word
• Ashley Theresa Wright, PA-C

• General Practice Dentistry in Chicopee, MA
• Providers in Chicopee, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.