NPIMap

Organization Active NPI

Wilson Pediatric Dentistry

  • Pediatric Dentistry
  • Wilson, NC
National Provider Identifier
1750723987
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
WILSON PEDIATRIC DENTISTRY
Practice address
2401 Wooten Blvd SW
Suite F
Wilson, NC 27893-4464
Phone
(252) 291-4300
Fax
(252) 291-2337
NPI assigned
Jul 30, 2013
Last updated
Jul 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Rolando PradoNPI 1003978750
Title
Dentist
Phone
(252) 291-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

2401 Wooten Blvd SW
Suite F
Wilson, NC 27893-4464

Mailing address

2401 Wooten Blvd SW
Suite F
Wilson, NC 27893-4464
Phone (252) 291-4300

National Provider Directory

National Provider Directory
Tax ID family
Rolando a Prado DDS Ms PA2 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.

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": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1750723987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WOOTEN BLVD SW",
            "address_2": "SUITE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934464",
            "telephone_number": "252-291-4300",
            "fax_number": "252-291-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WOOTEN BLVD SW",
            "address_2": "SUITE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934464",
            "telephone_number": "252-291-4300",
            "fax_number": "252-291-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "252-291-4300"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.