Organization Active NPI

Wilson Implants and Dentures

Doing business as Implants and Dentures

  • Dental Clinic/Center
  • Floresville, TX
National Provider Identifier
1619496411
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WILSON IMPLANTS AND DENTURES
Doing business as
Implants and Dentures
Practice address
101 Wilson Dr Ste 107
Floresville, TX 78114-2854
Phone
(830) 321-0633
NPI assigned
Sep 12, 2017
Last updated
Sep 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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

Authorized official

Name
Sumeet Malhotra
Title
Owner
Phone
(617) 412-0792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

101 Wilson Dr Ste 107
Floresville, TX 78114-2854

Mailing address

101 Wilson Dr Ste 107
Floresville, TX 78114-2854

Other names 1

  • Implants and Dentures Doing business as

National Provider Directory

National Provider Directory

Locations

101 Wilson Dr
Ste 107
Floresville, TX 78114
Phone (830) 321-0633

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1619496411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WILSON DR STE 107",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781142854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILSON DR STE 107",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781142854",
            "telephone_number": "830-321-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON IMPLANTS AND DENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "SUMEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-412-0792"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Implants and Dentures",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Floresville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; 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.