Active NPI
All About Kids Pediatric Dentistry
- Pediatric Dentistry
- Memphis, TN
National Provider Identifier
1497908354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8557
- Legal business name
- ALL ABOUT KIDS PEDIATRIC DENTISTRY
- Practice address
- 3285 Hacks Cross Rd
Ste 101
Memphis, TN 38125-8918 - Phone
- (901) 759-0970
- NPI assigned
- Oct 23, 2008
- Last updated
- Oct 23, 2008
- 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. Courtney L Wilson, DDS
- Title
- Ceo/Pediatric Dentist
- Phone
- (901) 759-0970
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8557 | TN | Primary |
Addresses
Primary practice location
3285 Hacks Cross Rd
Ste 101
Memphis, TN 38125-8918
Mailing address
3285 Hacks Cross Rd
Ste 101
Memphis, TN 38125-8918
Phone (901) 759-0970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5440932 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
3285 Hacks Cross Rd
Ste 101
Memphis, TN 38125
Phone (901) 759-0970
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Pediatric Dentistry
- Memphis, TN
- NPI 1538382502
-
- Dental Hygienist
- Memphis, TN
- NPI 1417672403
-
- Dentist
- Memphis, TN
- NPI 1457612541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224720000000",
"number": "1497908354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3285 HACKS CROSS RD",
"address_2": "STE 101",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381258918",
"telephone_number": "901-759-0970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3285 HACKS CROSS RD",
"address_2": "STE 101",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381258918",
"telephone_number": "901-759-0970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL ABOUT KIDS PEDIATRIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-23",
"last_updated": "2008-10-23",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "COURTNEY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO/PEDIATRIC DENTIST",
"authorized_official_telephone_number": "901-759-0970",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "8557",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5440932",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.