Active NPI
Gail Ann Wilson, R.D.H.
- Dental Hygienist
- Bath, NY
National Provider Identifier
1619085966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 12351
- Practice address
- 226 W Morris St
Bath, NY 14810-1413 - Phone
- (607) 776-8930
- NPI assigned
- Aug 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 12351 | NY | Primary |
Addresses
Primary practice location
226 W Morris St
Bath, NY 14810-1413
Mailing address
PO Box 103
Hammondsport, NY 14840-0103
Phone (607) 569-2227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12351 | NY | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619085966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 103",
"city": "HAMMONDSPORT",
"state": "NY",
"postal_code": "148400103",
"telephone_number": "607-569-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 W MORRIS ST",
"city": "BATH",
"state": "NY",
"postal_code": "148101413",
"telephone_number": "607-776-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "GAIL",
"middle_name": "ANN",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "12351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bath, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.