Active NPI
Rachel Elizabeth Wilson, DDS
- Dentist
- Gaithersburg, MD
National Provider Identifier
1699261172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16480
- Practice address
- 9 Desellum Ave
Gaithersburg, MD 20877-1957 - Phone
- (301) 926-1511
- NPI assigned
- Jul 8, 2018
- Last updated
- Jul 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 16480 | MD | Primary |
Addresses
Primary practice location
9 Desellum Ave
Gaithersburg, MD 20877-1957
Mailing address
9 Desellum Ave
Gaithersburg, MD 20877-1957
Phone (301) 926-1511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W182205609 | Other | MD | AETNA |
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 |
|---|---|---|---|
| 16480 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531008000000",
"number": "1699261172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 DESELLUM AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771957",
"telephone_number": "301-926-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 DESELLUM AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771957",
"telephone_number": "301-926-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "RACHEL",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-08",
"last_updated": "2018-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "16480",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "W182205609",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.