Norman R Wilhelmsen, D.D.S.,M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901010046 Issued in MI

Practice address

255 Washington St SE
Grand Rapids, MI 49503-4350

Phone

(616) 458-8777

Fax

(616) 458-8631

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

Yes

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 IN

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619079365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034350",
            "telephone_number": "616-458-8777",
            "fax_number": "616-458-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034350",
            "telephone_number": "616-458-8777",
            "fax_number": "616-458-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELMSEN",
        "first_name": "NORMAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901010046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Wildt, D.D.S
• Jeniffer Wiley
• Sandra Verlay Wilfore, FNP-C
• Kirsten Rosemarie Wilhelm, MD
• Maju Basila Wilhelm, RN
• Andrew Michael Wilke, O.D.
• Anne Marie Wilke
• Beeshae Wilkerson, P.A.
• Allison Elizabeth Wilkes, DNP
• Michael Wilkes

• Periodontics in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Periodontics in Michigan

• 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.