Robert V Wick, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22565 Issued in CA

Practice address

19682 Hesperian Blvd
Suite 207
Hayward, CA 94541-4752

Phone

(510) 782-1444

Fax

(510) 782-3694

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1598873853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19682 HESPERIAN BLVD",
            "address_2": "SUITE 207",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414752",
            "telephone_number": "510-782-1444",
            "fax_number": "510-782-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19682 HESPERIAN BLVD",
            "address_2": "SUITE 207",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414752",
            "telephone_number": "510-782-1444",
            "fax_number": "510-782-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICK",
        "first_name": "ROBERT",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "22565",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "22565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Whitaker, PSY.D.
• Danielle Marie White
• Krystal White
• Onisha White
• Jenaha Whitt
• Kente Wiggins
• Kiaya Wiles
• Christopher Carson Wiley
• Nathan Ashley Wilkinson, AGPCNP-BC
• William Cox Dental Corporation

• Oral and Maxillofacial Surgery (Dentist) in Hayward, CA
• Providers in Hayward, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.