Active NPI
Cheryl Wilson
- Dental Hygienist
- Phoenix, AZ
National Provider Identifier
1447471370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1817
- Practice address
- 10827 S 51St St
Ste 201
Phoenix, AZ 85044-1742 - Phone
- (480) 893-0888
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1817 | AZ | Primary |
Addresses
Primary practice location
10827 S 51St St
Ste 201
Phoenix, AZ 85044-1742
Mailing address
10827 S 51St St
Ste 201
Phoenix, AZ 85044-1742
Phone (480) 893-0888
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1817 | AZ | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental One, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Dental Group of Ahwatukee
- General Practice Dentistry
- Phoenix, AZ
- NPI 1124105291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447471370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10827 S 51ST ST",
"address_2": "STE 201",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850441742",
"telephone_number": "480-893-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10827 S 51ST ST",
"address_2": "STE 201",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850441742",
"telephone_number": "480-893-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CHERYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "1817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.