James S Wilson DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5857 Issued in NC

Legal business name

JAMES S WILSON DDS PA

Practice address

416 West Warren Street
Shelby, NC 28150

Phone

(704) 482-3281

Fax

(704) 484-2990

NPI assigned

Aug 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Sperling WilsonNPI 1417133638

Title

Dentist President Owner

Phone

(704) 482-3281

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• C Douglas Stroud DDS MPL PA Craig D Thompson DMD PA Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Sperling Wilson, DDS

  • General Practice Dentistry
  • Shelby, NC
  • NPI 1417133638
  NPD (past) Authorized official
• Charles Douglas Stroud, DDS

  • Dentist
  • Shelby, NC
  • NPI 1689871071
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457367260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 WEST WARREN STREET",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "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 WEST WARREN STREET",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "telephone_number": "704-482-3281",
            "fax_number": "704-484-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES S WILSON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SPERLING",
        "authorized_official_title_or_position": "DENTIST PRESIDENT OWNER",
        "authorized_official_telephone_number": "704-482-3281",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3230",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8112",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899402",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C Douglas Stroud DDS MPL PA Craig D Thompson DMD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Aug 22, 2020; 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.