Dewitt C Wilkerson DMD PA

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

DEWITT C WILKERSON DMD PA

Practice address

390 4TH St N
St Petersburg, FL 33701-2802

Phone

(727) 282-1980

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

De Witt Wilkerson

Title

Owner

Phone

(727) 282-1980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1407347727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337012802",
            "telephone_number": "727-282-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337012802",
            "telephone_number": "727-282-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWITT C WILKERSON DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "DE WITT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-282-1980"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dhana Incorporated (Kayser Counseling and Consulting)

• Customized Equipment (DME) in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.