Mark W. Wilhelm DMD, MSD, PA

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MARK W. WILHELM DMD, MSD, PA

Practice address

6861 Upper Afton Rd
Suite 101
Woodbury, MN 55125-4417

Phone

(651) 227-2427

Fax

(651) 224-7414

NPI assigned

Apr 24, 2014

Last updated

Jun 9, 2014By 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

Dr. Mark Wilhelm, DMD, MSDNPI 1538181904

Title

Owner

Phone

(651) 227-2427

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark W Wilhelm, DMD, MSD

  • Prosthodontics
  • Woodbury, MN
  • NPI 1538181904
  NPD (past) Authorized official

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1710307061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6861 UPPER AFTON RD",
            "address_2": "SUITE 101",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254417",
            "telephone_number": "651-227-2427",
            "fax_number": "651-224-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6861 UPPER AFTON RD",
            "address_2": "SUITE 101",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254417",
            "telephone_number": "651-227-2427",
            "fax_number": "651-224-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W. WILHELM DMD, MSD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "WILHELM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-227-2427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Frank Marchio Jr., PA-C
• Nancy Beth Marek, PT PHYSICAL THERAPIS
• Shari Marik-Roach, LICSW
• Corey Marin, PHARMD
• Brianne M Marion, PSYD
• Mark Your Home Health Care LLC
• Rachel Markoe, MA
• Maren Elizabeth Marks, PTA
• Malachi Japheth Mart, D.C.
• Alisha Lynn Martell, CCC-SLP

• Customized Equipment (DME) in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Customized Equipment (DME) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.