Organization Active NPI

Damonco PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Corpus Christi, TX
National Provider Identifier
1487059986
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
13707 Issued in TX
Legal business name
DAMONCO PLLC
Practice address
14725 S Padre Island Dr.
Suite 301
Corpus Christi, TX 78418
Phone
(361) 949-3500
Fax
(361) 643-6699
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Dr. Damon Cis Wilkerson, D.D.S.
Title
Owner/President
Phone
(361) 947-2747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 13707 TX Primary

Addresses

Primary practice location

14725 S Padre Island Dr.
Suite 301
Corpus Christi, TX 78418

Mailing address

14493 S Padre Island Dr.
Suite a PMB 446
Corpus Christi, TX 78418
Phone (361) 947-2747

Other names 1

  • Island Aligners Doing business as

National Provider Directory

National Provider Directory

Locations

14725 S Padre Island Dr
Ste 301
Corpus Christi, TX 78418
Phone (361) 949-3500

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1487059986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14493 S PADRE ISLAND DR.",
            "address_2": "SUITE A PMB 446",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78418",
            "telephone_number": "361-947-2747",
            "fax_number": "361-643-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14725 S PADRE ISLAND DR.",
            "address_2": "SUITE 301",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78418",
            "telephone_number": "361-949-3500",
            "fax_number": "361-643-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMONCO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "CIS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "361-947-2747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "13707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Aligners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.