Nancy Marguerite Wilkens, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

047634 Issued in NY

Practice address

447 Lake Ave
Saint James, NY 11780-2209

Phone

(631) 584-6660

NPI assigned

Jul 16, 2007

Last updated

Jul 16, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1790984169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 LAKE AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802209",
            "telephone_number": "631-584-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 LAKE AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802209",
            "telephone_number": "631-584-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKENS",
        "first_name": "NANCY",
        "middle_name": "MARGUERITE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "047634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean R Weinstock, RN
• Pamela Weinstock
• Richard A Weiss, M.D.
• Wendy Sanzone-Korkus
• Matthew Philip Whalen
• Barbara Nan Willner, FNP
• Chun-Tao Wu
• Xiao Huang Acupuncture PC
• Edward A Zack, R.PH.
• Peter Zack, R.PH.

• Endodontics in Saint James, NY
• Providers in Saint James, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.