Organization Active NPI

Wilkinson Family Dentistry, LLC

  • General Practice Dentistry
  • Blue Springs, MO
National Provider Identifier
1356513659
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2006014155 Issued in MO
Legal business name
WILKINSON FAMILY DENTISTRY, LLC
Practice address
1200 NW Jefferson CT
Blue Springs, MO 64015-6394
Phone
(816) 228-3688
Fax
(816) 228-5688
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Dr. Debra A Wilkinson, DDS
Title
Dentist
Phone
(816) 228-3688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2006014155 MO Primary

Addresses

Primary practice location

1200 NW Jefferson CT
Blue Springs, MO 64015-6394

Mailing address

1200 NW Jefferson CT
Blue Springs, MO 64015-6394
Phone (816) 228-3688

National Provider Directory

National Provider Directory

Locations

1200 NW Jefferson Ct
Blue Springs, MO 64015
Phone (816) 228-3688

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1356513659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NW JEFFERSON CT",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640156394",
            "telephone_number": "816-228-3688",
            "fax_number": "816-228-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW JEFFERSON CT",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640156394",
            "telephone_number": "816-228-3688",
            "fax_number": "816-228-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINSON FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "816-228-3688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2006014155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.