NPIMap

Organization Active NPI

James G Wilson DMD PA

Doing business as Tampa Bay Periodontics and Implant Dentistry

  • Periodontics
  • Tampa, FL
National Provider Identifier
1679564405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN13537 Issued in FL
Legal business name
JAMES G WILSON DMD PA
Doing business as
Tampa Bay Periodontics and Implant Dentistry
Practice address
1810 S Macdill Ave
Ste 2
Tampa, FL 33629-5901
Phone
(813) 251-0770
Fax
(813) 251-0771
NPI assigned
Nov 1, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James G Wilson, DMDNPI 1356757470
Title
President
Phone
(813) 251-0770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X DN13537 FL Primary

Addresses

Primary practice location

1810 S Macdill Ave
Ste 2
Tampa, FL 33629-5901

Mailing address

1810 S Macdill Ave
Ste 2
Tampa, FL 33629-5901
Phone (813) 251-0770

Other names 1

  • Tampa Bay Periodontics and Implant Dentistry Doing business as

National Provider Directory

National Provider Directory

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": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679564405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 S MACDILL AVE",
            "address_2": "STE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295901",
            "telephone_number": "813-251-0770",
            "fax_number": "813-251-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 S MACDILL AVE",
            "address_2": "STE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295901",
            "telephone_number": "813-251-0770",
            "fax_number": "813-251-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES G WILSON DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-251-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN13537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa Bay Periodontics and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.