Robert W Wilson, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

21178 Issued in MA

Practice address

15 Dix Street
Winchester, MA 01890-1870

Phone

(781) 729-8180

Fax

(781) 729-8719

NPI assigned

Feb 19, 2008

Last updated

Feb 19, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Winchester Orthodontics P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Winchester, MA
  • NPI 1437285848
  Authorized official Same address or phone

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1578731022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DIX ST",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901870",
            "telephone_number": "781-729-8180",
            "fax_number": "781-729-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DIX STREET",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901870",
            "telephone_number": "781-729-8180",
            "fax_number": "781-729-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "21178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Weisz, M.D.
• Marie Ann White, RN
• Wholistic Pediatricians
• William C. Walsh, M.D.
• Robert C Wilson, D.D.S.
• Weston Perry Wilson, D.D.S.
• Winchester and Reading Pediatric Dentistry LLC (PDA Dental Group)
• Winchester Anesthesia Associates 2 Inc
• Winchester Anesthesia Associates, Inc
• Winchester Dental Care, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Winchester, MA
• Providers in Winchester, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

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