Aaron James Wicks, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050804 Issued in NY

Practice address

2474 8TH Ave Ste a
New York, NY 10027-7710

Phone

(212) 234-6088

Fax

(212) 234-6088

NPI assigned

Aug 22, 2007

Last updated

Aug 22, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aaron's Dental Care

  • General Practice Dentistry
  • New York, NY
  • NPI 1013235068
  NPD (past) Authorized official

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1790978971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2474 8TH AVE STE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277710",
            "telephone_number": "212-234-6088",
            "fax_number": "212-234-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 8TH AVE STE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277710",
            "telephone_number": "212-234-6088",
            "fax_number": "212-234-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKS",
        "first_name": "AARON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02408919",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esme Wickham
• Gay Goodwin Wickham, LPC
• Grayson Wickham
• Thomas L. Wickiewicz, M.D.
• Weerakkody Wickramaratne
• Erika Wickstrom, DO
• Maj L Wickstrom, M.D.
• Golda B Widawski, MPT
• Jolie Widawsky
• Rachel Widawsky

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.