Active NPI
Todd Carl Wilkin, D.D.S.
- Dentist
- Ely, NV
National Provider Identifier
1376502575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3200
- Practice address
- 1475 Avenue G
Ely, NV 89301-2538 - Phone
- (775) 289-4000
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3200 | NV | Primary |
Addresses
Primary practice location
1475 Avenue G
Ely, NV 89301-2538
Mailing address
1475 Avenue G
Ely, NV 89301-2538
Phone (775) 289-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160419001554 | NV | Order and Referring Only - Other (Non-Physician) | 4082912480 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3200 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Bee Ririe Retail Pharmacy | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| William Bee Ririe Critical Access Hospital | Hospital | Corporate Officer | Jan 1, 2022 |
| William Bee Ririe Hospital | Rural health clinic | Corporate Officer | Jan 1, 2022 |
| William Bee Ririe Hospital Eureka Clinic | Rural health clinic | Corporate Director | Feb 4, 2022 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Ely, NV
- NPI 1831729268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376502575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 AVENUE G",
"city": "ELY",
"state": "NV",
"postal_code": "893012538",
"telephone_number": "775-289-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 AVENUE G",
"city": "ELY",
"state": "NV",
"postal_code": "893012538",
"telephone_number": "775-289-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKIN",
"first_name": "TODD",
"middle_name": "CARL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "3200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ely, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.