Organization Active NPI

Joseph W Wilson DDS Ma Inc

  • General Practice Dentistry
  • Mission Viejo, CA
National Provider Identifier
1497923544
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35181 Issued in CA
Legal business name
JOSEPH W WILSON DDS MA INC
Practice address
27871 Medical Center Rd
Ste 280
Mission Viejo, CA 92691-6440
Phone
(949) 364-0770
Fax
(949) 364-3526
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Mr. Joseph W WilsonNPI 1508244294
Title
Owner
Phone
(949) 364-0770

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 35181 CA Primary

Addresses

Primary practice location

27871 Medical Center Rd
Ste 280
Mission Viejo, CA 92691-6440

Mailing address

27871 Medical Center Rd
Ste 280
Mission Viejo, CA 92691-6440
Phone (949) 364-0770

National Provider Directory

National Provider Directory

Locations

27871 Medical Center Rd
Ste 280
Mission Viejo, CA 92691
Phone (949) 364-0770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1497923544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD",
            "address_2": "STE 280",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916440",
            "telephone_number": "949-364-0770",
            "fax_number": "949-364-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD",
            "address_2": "STE 280",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916440",
            "telephone_number": "949-364-0770",
            "fax_number": "949-364-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH W WILSON DDS MA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-364-0770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

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

Verify at the official NPI Registry.