Neil Steven Wilensky, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19990 Issued in CA

Practice address

895 River Dr
Fort Bragg, CA 95437-5441

Phone

(707) 961-4270

Fax

(707) 961-4275

NPI assigned

Jul 9, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neil S Wilensky DDS Inc

  • Dentist
  • Fort Bragg, CA
  • NPI 1669580486
  NPD (past) Authorized official

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1700227576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 RIVER DR",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375441",
            "telephone_number": "707-961-4270",
            "fax_number": "707-961-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 RIVER DR",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375441",
            "telephone_number": "707-961-4270",
            "fax_number": "707-961-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILENSKY",
        "first_name": "NEIL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "19990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Wells, PA-C
• Elizabeth Wells, DC
• Faye Whatley, IHP
• Sheri Lynn White-Hackley, PT
• Katharine L. White, LMFT
• William M Mahon & Jeffrey M Kraut
• William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric MDCL GRP
• Matthew Simon Winslow
• John Wiser, MFT
• Womens Health Center

• General Practice Dentistry in Fort Bragg, CA
• Providers in Fort Bragg, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.