Organization Active NPI

RWPK PLLC

Doing business as Wildey Pediatric Dentistry

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1356762223
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
25425 Issued in TX
Legal business name
RWPK PLLC
Doing business as
Wildey Pediatric Dentistry
Practice address
10003 NW Military Hwy Ste 3201
San Antonio, TX 78231-1892
Phone
(210) 417-4181
Fax
(210) 417-4181
NPI assigned
Dec 19, 2013
Last updated
Dec 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Rex E Wildey, D.D.S.NPI 1306165378
Title
Owner/Doctor
Phone
(210) 417-4181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 25425 TX Primary

Addresses

Primary practice location

10003 NW Military Hwy Ste 3201
San Antonio, TX 78231-1892

Mailing address

10003 NW Military Hwy Ste 3201
San Antonio, TX 78231-1892
Phone (210) 417-4181

Other names 1

  • Wildey Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RWPK LLC2 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.

Locations

10003 NW Military Hwy
Ste 3201
San Antonio, TX 78231
Phone (210) 417-4181

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1356762223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10003 NW MILITARY HWY STE 3201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311892",
            "telephone_number": "210-417-4181",
            "fax_number": "210-417-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10003 NW MILITARY HWY STE 3201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311892",
            "telephone_number": "210-417-4181",
            "fax_number": "210-417-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RWPK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "WILDEY",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "210-417-4181",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "25425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildey Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.