Richard a. Wilson, DDS, PA

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

26065 Issued in TX

Legal business name

RICHARD A. WILSON, DDS, PA

Practice address

3828 W Davis St
Suite 310
Conroe, TX 77304-1815

Phone

(936) 756-9015

Fax

(936) 756-7098

NPI assigned

Feb 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Richard Allen Wilson, DDSNPI 1760633929

Title

Owner/President

Phone

(936) 756-9015

Specialties & licenses 1

Addresses

Tax ID family

Richard a Wilson DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Richard a. Wilson, DDS, P.a.

  • Dentist
  • Conroe, TX
  • NPI 1770881401
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Allen Wilson, DDS

  • General Practice Dentistry
  • Conroe, TX
  • NPI 1760633929
  NPD (past) Authorized official

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1326587767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 W DAVIS ST",
            "address_2": "SUITE 310",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041815",
            "telephone_number": "936-756-9015",
            "fax_number": "936-756-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 W DAVIS ST",
            "address_2": "SUITE 310",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041815",
            "telephone_number": "936-756-9015",
            "fax_number": "936-756-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. WILSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "936-756-9015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "26065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Annette Rhodes, LPC
• Rice Chiropractic Clinic
• Ann Rutledge Rice, D.D.S.
• Kathleen A Rice
• Richard a. Wilson, DDS, P.a.
• Richard E. Allen, D.D.S., Inc.
• Richard Earle Collier MD PA
• Derrick Richard Jr.
• John Mark Richards, D.D.S.
• Rachel Lorene Richards, LPC

• Point of Service in Conroe, TX
• Providers in Conroe, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.