Individual provider Active NPI

Wilkie S Paes, DDS

  • Dentist
  • Lagrangeville, NY
National Provider Identifier
1710194436
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052965 Issued in NY
Practice address
1110 Route 55
Suite 107
Lagrangeville, NY 12522
Phone
(845) 486-4572
Fax
(845) 559-0627
NPI assigned
May 16, 2007
Last updated
May 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 052965 NY Primary
General Practice Dentistry 1223G0001X 052965 NY

Addresses

Primary practice location

1110 Route 55
Suite 107
Lagrangeville, NY 12522

Mailing address

1110 Route 55
Suite 107
Lagrangeville, NY 12522
Phone (845) 486-4572

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

LicenseStateTypeSpecialty
052965NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wilkie Paes, DDS PC General Practice PastSince Dec 17, 2023 Accepting new patients
Singular Anesthesia Services, PLLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1710194436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 ROUTE 55",
            "address_2": "SUITE 107",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "12522",
            "telephone_number": "845-486-4572",
            "fax_number": "845-559-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ROUTE 55",
            "address_2": "SUITE 107",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "12522",
            "telephone_number": "845-486-4572",
            "fax_number": "845-559-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAES",
        "first_name": "WILKIE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052965",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrangeville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.