Active NPI
Shawn K Wilson DDS Inc
- Dentist
- Redding, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 032518
- Legal business name
- SHAWN K WILSON DDS INC
- Practice address
- 3110 Churn Creek Road
Redding, CA 96002 - Phone
- (530) 222-0515
- Fax
- (530) 222-1623
- NPI assigned
- Oct 23, 2006
- Last updated
- Oct 2, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shawn Kevin Wilson, DDS
- Title
- Owner Operator
- Phone
- (530) 222-0515
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 032518 | CA | Primary |
Addresses
Primary practice location
3110 Churn Creek Road
Redding, CA 96002
Mailing address
3110 Churn Creek Road
Suite a
Redding, CA 96002
Phone (530) 222-0515
Other names 1
- Shawn K Wilson DDS
National Provider Directory
National Provider DirectoryLocations
3110 Churn Creek Rd
Redding, CA 96002
Phone (530) 222-0515
3110 Churn Creek Rd
Ste A
Redding, CA 96002
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Redding, CA
- NPI 1811337553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412208000000",
"number": "1477636280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 CHURN CREEK ROAD",
"address_2": "SUITE A",
"city": "REDDING",
"state": "CA",
"postal_code": "96002",
"telephone_number": "530-222-0515",
"fax_number": "530-222-1623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 CHURN CREEK ROAD",
"city": "REDDING",
"state": "CA",
"postal_code": "96002",
"telephone_number": "530-222-0515",
"fax_number": "530-222-1623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAWN K WILSON DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2014-10-02",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "KEVIN",
"authorized_official_title_or_position": "OWNER OPERATOR",
"authorized_official_telephone_number": "530-222-0515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "032518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shawn K Wilson DDS",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Redding, CA
- Shasta Women's Care,Inc
- Shauna Havlina Marriage and Family Therapy Services, Inc.
- Gregory A. Shaw, M.D.
- Jill Ann Shaw, MD
- Patricia Louise Shaw, LMFT
- Shawn P. Guerin, DDS Dental Corporation (Redding Dental Group)
- Brandy Shedd, PHARMD
- Rhonda Lynn Shelburne, RN
- Shelby Lou Casey (Shasta Speech and Language)
- Thomas E. Shellenberger, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.