Roscoe Wilks Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3797 Issued in LA

Practice address

2619 Jasmine St
New Orleans, LA 70122-6017

Phone

(504) 304-0472

NPI assigned

Jan 2, 2008

Last updated

Jan 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1447435045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 JASMINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701226017",
            "telephone_number": "504-304-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 JASMINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701226017",
            "telephone_number": "504-304-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKS",
        "first_name": "ROSCOE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1837971",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Lynn Wilkinson, CRNA
• Peter Everett Wilkinson, DDS MD
• Frank E Wilklow, M.D.
• Melinda Wilks, APRN-CNP
• Olivia Jane Wilks
• Patricia Parente Willhoit, CANP
• William Arendell LCSW LLC
• William E Fowler
• William J Woessner, MD
• William S Brasted PHD Apc

• General Practice Dentistry in New Orleans, LA
• Providers in New Orleans, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.