Elizabeth M. Wilson DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD3170 Issued in NM

Legal business name

ELIZABETH M. WILSON DMD LLC

Practice address

217 E Marcy St
Santa Fe, NM 87501-2020

Phone

(505) 988-4333

NPI assigned

Nov 29, 2012

Organization subpart

Yes

Parent organization

-As reported in NPPES

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

Authorized official

Name

Elizabeth Wilson, DMD

Title

Owner/Dentist

Phone

(505) 988-4333

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Elizabeth M Wilson DMD LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faith Ventura Delong, DDS

  • General Practice Dentistry
  • Arlington, VA
  • NPI 1285792614

  General Practice

  NPD (past)

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1730424904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E MARCY ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E MARCY ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012020",
            "telephone_number": "505-988-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH M. WILSON DMD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "505-988-4333",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17334829",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Elgatian Romero, BMS
• Jada Elias, RBT
• Elisabeth Barkey MD Inc
• Elizabeth a. Buck
• Elizabeth C. Stirling LLC
• Scott Elledge, DMD
• Ellen J Shabshai Fox Lisw Inc
• Ellen J Shabshai Fox, Lisw
• Ellen Lefkowitz, Incorporated
• Ellewell, Inc.

• All providers in Santa Fe, NM
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.