Organization Active NPI

Thomas K Wilson DMD LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Salina, KS
National Provider Identifier
1477897155
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
5719 Issued in KS
Legal business name
THOMAS K WILSON DMD LLC
Practice address
520 S Santa Fe Ave
240
Salina, KS 67401-4190
Phone
(785) 827-9325
Fax
(785) 827-6252
NPI assigned
Nov 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Thomas K Wilson, DMD
Title
Proprietor
Phone
(785) 827-9325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 5719 KS Primary

Addresses

Primary practice location

520 S Santa Fe Ave
240
Salina, KS 67401-4190

Mailing address

520 S Santa Fe Ave
240
Salina, KS 67401-4190
Phone (785) 827-9325

Other identifiers 1

IdentifierTypeStateIssuer
008775OtherKSMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1477897155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S SANTA FE AVE",
            "address_2": "240",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014190",
            "telephone_number": "785-827-9325",
            "fax_number": "785-827-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S SANTA FE AVE",
            "address_2": "240",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014190",
            "telephone_number": "785-827-9325",
            "fax_number": "785-827-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS K WILSON DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "785-827-9325",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "5719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "008775",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.