DRS. Motter and Wilson, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DRS. MOTTER AND WILSON, INC.

Practice address

5231 Mayfield Rd
Lyndhurst, OH 44124-2407

Phone

(440) 442-5990

Fax

(440) 442-9114

NPI assigned

Feb 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Lawrence Wilson, D.D.S.

Title

Vice-President

Phone

(440) 442-5990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467593442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 MAYFIELD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242407",
            "telephone_number": "440-442-5990",
            "fax_number": "440-442-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 MAYFIELD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242407",
            "telephone_number": "440-442-5990",
            "fax_number": "440-442-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. MOTTER AND WILSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "440-442-5990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.