Brandon R. Wilcox, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6926 Issued in NE

Legal business name

BRANDON R. WILCOX, D.D.S., P.C.

Practice address

916 W 10TH St
Alliance, NE 69301-2858

Phone

(308) 762-6131

Fax

(308) 762-6132

NPI assigned

May 26, 2011

Last updated

Jun 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandon Rodney Wilcox, D.D.S.

Title

Dentist/Owner

Phone

(308) 762-6131

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1699068411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W 10TH ST",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693012858",
            "telephone_number": "308-762-6131",
            "fax_number": "308-762-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 W 10TH ST",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693012858",
            "telephone_number": "308-762-6131",
            "fax_number": "308-762-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON R. WILCOX, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "308-762-6131",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100259327-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Alliance, NE
• Providers in Alliance, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.