Active NPI
Carolyn Fern Wilson, DDS MSD
- Pediatric Dentistry
- Irving, TX
National Provider Identifier
1720127087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 11548
- Practice address
- 3219 Macarthur
# 100
Irving, TX 75062 - Phone
- (972) 252-7569
- Fax
- (972) 258-0502
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 11548 | TX | Primary |
Addresses
Primary practice location
3219 Macarthur
# 100
Irving, TX 75062
Mailing address
6121 Kenwood Drive
Dallas, TX 75149
Phone (214) 502-1204
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 |
|---|---|---|---|
| 11548 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Robert E Morgan & Associates | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Irving, TX
- NPI 1225247430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720127087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6121 KENWOOD DRIVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "75149",
"telephone_number": "214-502-1204",
"fax_number": "214-828-8132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 MACARTHUR",
"address_2": "# 100",
"city": "IRVING",
"state": "TX",
"postal_code": "75062",
"telephone_number": "972-252-7569",
"fax_number": "972-258-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CAROLYN",
"middle_name": "FERN",
"name_prefix": "Dr.",
"credential": "DDS MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "11548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.