Timothy Gerard Wilson, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

11543 Issued in MD

Practice address

1118 Klick Way
Hagerstown, MD 21742-3469

Phone

(301) 733-5230

Fax

(301) 733-6169

NPI assigned

Dec 7, 2010

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.

• Hub City Orthodontics, P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hagerstown, MD
  • NPI 1851502884
  NPD (past) Authorized official

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1790088136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 KLICK WAY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423469",
            "telephone_number": "301-733-5230",
            "fax_number": "301-733-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 KLICK WAY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423469",
            "telephone_number": "301-733-5230",
            "fax_number": "301-733-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TIMOTHY",
        "middle_name": "GERARD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "11543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Willwerth, CRNP
• Alice Wilson, LCSWC
• Ethel A Wilson, RD, MS, LDN
• Jami Wilson, RN
• Joseph Robert Wilson, M.D.
• Toresa Wilson, LCSW-C
• Barbara Drago Winebrenner, PT
• Robert J Winebrenner, DDS
• Julie Lynn Wingate, MSPT
• Michael A Winslow, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.