Organization Active NPI

David a Wilson DDS PLLC

  • General Practice Dentistry
  • Hendersonville, NC
National Provider Identifier
1376961839
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9415 Issued in NC
Legal business name
DAVID A WILSON DDS PLLC
Practice address
510 Balsam Rd
Hendersonville, NC 28792-5703
Phone
(828) 693-4431
Fax
(828) 693-4434
NPI assigned
Apr 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
David Wilson, DDS
Title
Owner
Phone
(214) 476-7915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9415 NC Primary

Addresses

Primary practice location

510 Balsam Rd
Hendersonville, NC 28792-5703

Mailing address

510 Balsam Rd
Hendersonville, NC 28792-5703

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1376961839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BALSAM RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BALSAM RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925703",
            "telephone_number": "828-693-4431",
            "fax_number": "828-693-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A WILSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-476-7915",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.