Timothy Wilson, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5621 Issued in AZ

Practice address

6868 E Becker LN
Suite 101
Scottsdale, AZ 85254-6708

Phone

(480) 556-0600

Fax

(480) 948-5339

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Apdo PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Scottsdale, AZ
  • NPI 1932289287

  Pediatric Dentistry

  NPD (past)
• Az SDS II LLC

  • Pediatric Dentistry
  • Scottsdale, AZ
  • NPI 1730921156
  NPD (past)
• Az SDS II LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Phoenix, AZ
  • NPI 1992547418

  Pediatric Dentistry

  NPD (past)
• Goldstein, Feinberg and Masserman Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Scottsdale, AZ
  • NPI 1780176511
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1720186257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6868 E BECKER LN",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546708",
            "telephone_number": "480-556-0600",
            "fax_number": "480-948-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6868 E BECKER LN",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546708",
            "telephone_number": "480-556-0600",
            "fax_number": "480-948-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TIMOTHY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "5621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Breanne Wilson, M.S. SLP
• Rosemary Wilson, M.D.
• Scott Alan Wilson
• Stephanie Houtz Wilson
• Steven R Wilson, DDS
• Wesley Garth Wilson, M.D.
• Jordan N Winchester, FNP-BC
• William Winckowski
• Elizabeth B Windgassen, M.D.
• Drew Windish, MS, RDN, CNSC

• Pediatric Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.