Organization Active NPI

Dan G Wilker DDS

  • General Practice Dentistry
  • Lima, OH
National Provider Identifier
1568109643
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAN G WILKER DDS
Practice address
3390 W Elm St
Lima, OH 45807-2223
Phone
(419) 222-1726
Fax
(419) 222-7122
NPI assigned
May 19, 2022
Last updated
May 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Krista Wright
Title
Cda
Phone
(419) 222-1726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3390 W Elm St
Lima, OH 45807-2223

Mailing address

3390 W Elm St
Lima, OH 45807-2223
Phone (419) 222-1726

Other identifiers 1

IdentifierTypeStateIssuer
1790869758MedicaidOH

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1568109643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 W ELM ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458072223",
            "telephone_number": "419-222-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 W ELM ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458072223",
            "telephone_number": "419-222-1726",
            "fax_number": "419-222-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN G WILKER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "CDA",
        "authorized_official_telephone_number": "419-222-1726"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790869758",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.