Active NPI
Brittanie Wilson, DDS
- General Practice Dentistry
- Williamsburg, IA
National Provider Identifier
1376103663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS-09685
- Practice address
- 400 Elm St
Williamsburg, IA 52361-9406 - Phone
- (319) 668-1221
- NPI assigned
- Jun 18, 2019
- Last updated
- Jun 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-09685 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Williamsburg, IA
- NPI 1760649701
-
- Dental Clinic/Center
- Sigourney, IA
- NPI 1841779592
-
- Dental Clinic/Center
- Williamsburg, IA
- NPI 1124507975
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.