Individual provider Active NPI

Brittanie Wilson, DDS

  • General Practice Dentistry
  • Williamsburg, IA
National Provider Identifier
1376103663
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-09685 Issued in IA
Practice address
400 Elm St
Williamsburg, IA 52361-9406
Phone
(319) 668-1221
NPI assigned
Jun 18, 2019
Last updated
Jun 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS-09685 IA Primary

Addresses

Primary practice location

400 Elm St
Williamsburg, IA 52361-9406

Mailing address

400 Elm St
Williamsburg, IA 52361-9406
Phone (319) 668-1221

Other practice location 1

214 S Jefferson St
Sigourney, IA 52591-1516
Phone (641) 622-3752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS-09685IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Williamsburg Smiles Past Accepting new patients
Kapple Dental Associates, P.C. Past Accepting new patients
Sigourney Smiles Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1376103663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ELM ST",
            "city": "WILLIAMSBURG",
            "state": "IA",
            "postal_code": "523619406",
            "telephone_number": "319-668-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ELM ST",
            "city": "WILLIAMSBURG",
            "state": "IA",
            "postal_code": "523619406",
            "telephone_number": "319-668-1221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 S Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Sigourney",
            "state": "IA",
            "postal_code": "525911516",
            "country_code": "US",
            "telephone_number": "641-622-3752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRITTANIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.