Desy P Wilson DDS Ms PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DESY P WILSON DDS MS PC

Practice address

859 NE 7TH St
Grants Pass, OR 97526-1634

Phone

(541) 474-0860

NPI assigned

Apr 11, 2013

Last updated

Apr 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Desy WilsonNPI 1134524465

Title

President

Phone

(541) 474-0860

Specialties & licenses 1

Addresses

Locations

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.

• Desy P Wilson, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grants Pass, OR
  • NPI 1134524465
  NPD (past) Authorized official
• Brent D. Erickson, D.M.D.

  • Dentist
  • Grants Pass, OR
  • NPI 1568845535
  NPD (past)
• Christopher J Matthews, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grants Pass, OR
  • NPI 1548269327
  NPD (past)

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1588007264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 SW PARK AVE APT 221",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261634",
            "telephone_number": "541-474-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESY P WILSON DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DESY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-474-0860"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Denham
• Dental Vision PC
• Glyn T. Deputy, LPC
• Kathryn Ruth Desantis, APRN, FNP-BC
• Carolyn Louise Descalso
• Carolyn I Diaz
• James Thomas Dibb, DO
• Russell King Dillon, PT
• Roxanna Dionne, LCSW
• Matthew J Ditty, PSYD

• Orthodontics and Dentofacial Orthopedics Dentistry in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.