Organization Active NPI

Top Rocker Industries

Doing business as Scott Wilson DDS

  • General Practice Dentistry
  • Garden City, KS
National Provider Identifier
1407164734
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60633 Issued in KS
Legal business name
TOP ROCKER INDUSTRIES
Doing business as
Scott Wilson DDS
Practice address
1133 E Kansas PLZ
Garden City, KS 67846-5870
Phone
(620) 276-7681
Fax
(620) 276-9203
NPI assigned
Sep 21, 2010
Last updated
Sep 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Dr. Scott Paul Wilson, DDS
Title
President
Phone
(620) 276-7681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 60633 KS Primary

Addresses

Primary practice location

1133 E Kansas PLZ
Garden City, KS 67846-5870

Mailing address

1133 E Kansas PLZ
Garden City, KS 67846-5870
Phone (620) 276-7681

Other identifiers 1

IdentifierTypeStateIssuer
200640840AMedicaidKS

Other names 1

  • Scott Wilson DDS Doing business as

National Provider Directory

National Provider Directory

Locations

1133 E Kansas Plz
Garden City, KS 67846
Phone (620) 276-7681

Practitioners & affiliated clinicians

Practitioners 2

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": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1407164734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E KANSAS PLZ",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465870",
            "telephone_number": "620-276-7681",
            "fax_number": "620-276-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E KANSAS PLZ",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465870",
            "telephone_number": "620-276-7681",
            "fax_number": "620-276-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOP ROCKER INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-276-7681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200640840A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott Wilson DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.