NPIMap

Organization Active NPI

Katherine Wilson, PLLC

  • Periodontics
  • Kittery, ME
National Provider Identifier
1700283488
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
3671 Issued in ME
Legal business name
KATHERINE WILSON, PLLC
Practice address
74 State Rd Ste 102
Kittery, ME 03904-1562
Phone
(303) 913-6462
NPI assigned
Nov 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Katherine Dunn Wilson, DMDNPI 1750502159
Title
Owner
Phone
(303) 913-6462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 3671 ME Primary

Addresses

Primary practice location

74 State Rd Ste 102
Kittery, ME 03904-1562

Mailing address

74 State Rd Ste 102
Kittery, ME 03904-1562
Phone (303) 913-6462

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.

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1700283488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 STATE RD STE 102",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041562",
            "telephone_number": "303-913-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 STATE RD STE 102",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041562",
            "telephone_number": "303-913-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE WILSON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "DUNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-913-6462",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "ME",
            "license": "3671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittery, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.