Organization Active NPI

Kristina N Wilson DMD PLLC

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1730937830
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KRISTINA N WILSON DMD PLLC
Practice address
18275 N 59TH Ave Ste 150
Glendale, AZ 85308-1253
Phone
(602) 942-0623
NPI assigned
May 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Dr. Kristina Wilson, DMDNPI 1154772879
Title
Owner/Dentist
Phone
(623) 293-6765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

18275 N 59TH Ave Ste 150
Glendale, AZ 85308-1253

Mailing address

18275 N 59TH Ave Ste 150
Glendale, AZ 85308-1253
Phone (602) 942-0623

National Provider Directory

National Provider Directory
Tax ID family
Kristina N Wilson DMD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18275 N 59th Ave
Ste 105
Glendale, AZ 85308
Phone (602) 942-0623

18275 N 59th Ave
Ste 150
Glendale, AZ 85308
Phone (602) 942-0623

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1730937830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE STE 150",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081253",
            "telephone_number": "602-942-0623",
            "fax_number": "602-942-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE STE 150",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081253",
            "telephone_number": "602-942-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA N WILSON DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "623-293-6765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.