Active NPI
John E Wilmes, DDS
- Dentist
- Decorah, IA
National Provider Identifier
1467523639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 08439
- Practice address
- 108 5TH Ave
Decorah, IA 52101-1319 - Phone
- (563) 382-3657
- Fax
- (563) 382-0739
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 08439 | IA | Primary |
Addresses
Primary practice location
108 5TH Ave
Decorah, IA 52101-1319
Mailing address
108 5TH Ave
Decorah, IA 52101-1319
Phone (563) 382-3657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 1, 2015 through Sep 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08439 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmes Dental, Inc. | Current | Accepting new patients |
Locations
108 5th Ave
Decorah, IA 52101
Phone (563) 382-3657
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.
-
- Dental Clinic/Center
- Decorah, IA
- NPI 1003669656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1467523639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 5TH AVE",
"city": "DECORAH",
"state": "IA",
"postal_code": "521011319",
"telephone_number": "563-382-3657",
"fax_number": "563-382-0739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 5TH AVE",
"city": "DECORAH",
"state": "IA",
"postal_code": "521011319",
"telephone_number": "563-382-3657",
"fax_number": "563-382-0739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILMES",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "08439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decorah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.