William M Wilcko, DMD MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS021750L Issued in PA

Practice address

6066 Peach St
Erie, PA 16509

Phone

(814) 868-8679

Fax

(814) 868-9445

NPI assigned

Jul 3, 2007

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609074400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6066 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16509",
            "telephone_number": "814-868-8679",
            "fax_number": "814-868-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6066 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16509",
            "telephone_number": "814-868-8679",
            "fax_number": "814-868-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCKO",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS021750L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Daniel Wiest, PA (ASCP)
• Janai Wiggins
• Zachary Charles Wigton
• James Michael Wilcko, D.M.D.
• Richard Wilcko, DMD
• Lisa Wilcox
• Mary Wilcox, LCSW
• Philip Wilcox, MS OTR/L
• Halina B Wilczanski, DMD
• Peter Lukasz Wilczanski, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Erie, PA
• Providers in Erie, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.