Organization Active NPI

Catherine G. Wilcox, DDS

  • Dentist
  • Battle Creek, MI
National Provider Identifier
1801125679
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901017210 Issued in MI
Legal business name
CATHERINE G. WILCOX, DDS
Practice address
1125 Michigan Ave E
Suite 7
Battle Creek, MI 49014-6832
Phone
(269) 963-7861
Fax
(269) 963-0579
NPI assigned
Dec 8, 2009
Last updated
Dec 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Mr. Gregg Morris
Title
Guy
Phone
(269) 963-7861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901017210 MI Primary

Addresses

Primary practice location

1125 Michigan Ave E
Suite 7
Battle Creek, MI 49014-6832

Mailing address

1125 Michigan Ave E
Suite 7
Battle Creek, MI 49014-6832
Phone (269) 963-7861

Other identifiers 2

IdentifierTypeStateIssuer
1376677443MedicaidMI
1790738557MedicaidMI

National Provider Directory

National Provider Directory

Locations

1125 Michigan Ave E
Ste 7
Battle Creek, MI 49014
Phone (269) 963-7861

Practitioners & affiliated clinicians

Practitioners 2

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": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1801125679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 MICHIGAN AVE E",
            "address_2": "SUITE 7",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490146832",
            "telephone_number": "269-963-7861",
            "fax_number": "269-963-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 MICHIGAN AVE E",
            "address_2": "SUITE 7",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490146832",
            "telephone_number": "269-963-7861",
            "fax_number": "269-963-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE G. WILCOX, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "GUY",
        "authorized_official_telephone_number": "269-963-7861",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376677443",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790738557",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.