James Sperling Wilson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5857 Issued in NC

Practice address

416 W Warren St
Shelby, NC 28150-5330

Phone

(704) 482-3281

Fax

(704) 484-2990

NPI assigned

Jan 17, 2008

Last updated

Jan 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James S Wilson DDS PA

  • General Practice Dentistry
  • Shelby, NC
  • NPI 1457367260
  NPD (past) Authorized official
• Kyle Hollis of Shelby, PLLC

  dba Family Dental Care of Shelby

  • Dental Clinic/Center
  • Shelby, NC
  • NPI 1902636285

  General Practice

  NPD (past)

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1417133638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W WARREN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505330",
            "telephone_number": "704-482-3281",
            "fax_number": "704-484-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W WARREN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505330",
            "telephone_number": "704-482-3281",
            "fax_number": "704-484-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JAMES",
        "middle_name": "SPERLING",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irving A Williams, M.D.
• Karen Janeen Williams, PSY D, LCMHC
• Kimberly Sunshine Williams, LPC
• Titchina Williams, PMHNP
• Courtney Eller Wilson
• Lori Wilson, RPH
• Roberta Borden Wilson, M.A., N.C.C., L.P.C-
• Wood SLP Services, Inc.
• Wood SLP Services, Inc.
• Judah Benjamin Woodall

• General Practice Dentistry in Shelby, NC
• Providers in Shelby, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.