Active NPI
Thomas R. Wilks, D.M.D.
- General Practice Dentistry
- Franklin, PA
National Provider Identifier
1407946817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS-016988-L
- Practice address
- 1263 Elk St
Franklin, PA 16323-1312 - Phone
- (814) 437-5622
- Fax
- (814) 437-3677
- NPI assigned
- Oct 14, 2006
- Last updated
- Dec 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | DS-016988-L | PA | Primary |
Addresses
Primary practice location
1263 Elk St
Franklin, PA 16323-1312
Mailing address
1263 Elk St
Franklin, PA 16323-1312
Phone (814) 437-5622
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS-016988-L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1407946817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1263 ELK ST",
"city": "FRANKLIN",
"state": "PA",
"postal_code": "163231312",
"telephone_number": "814-437-5622",
"fax_number": "814-437-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1263 ELK ST",
"city": "FRANKLIN",
"state": "PA",
"postal_code": "163231312",
"telephone_number": "814-437-5622",
"fax_number": "814-437-3677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKS",
"first_name": "THOMAS",
"middle_name": "R.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-14",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS-016988-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.