Robert Stephen Willding, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001090015 Issued in WI

Practice address

7003 39TH Avenue
Kenosha, WI 53142-7132

Phone

(262) 657-7942

Fax

(262) 657-4472

NPI assigned

Jun 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in WI

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

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.

• Smile Doctors LTD

  • Dentist
  • Kenosha, WI
  • NPI 1326404641
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821292806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 39TH AVENUE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427132",
            "telephone_number": "262-657-7942",
            "fax_number": "262-657-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 39TH AVENUE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427132",
            "telephone_number": "262-657-7942",
            "fax_number": "262-657-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLDING",
        "first_name": "ROBERT",
        "middle_name": "STEPHEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001090015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Brianna Wight, MSW, APSW
• Deana Mechelle Wiley, LPC-IT
• Kendall Wilkes, DMD
• Amy Wilkinson, RN
• Angela Wilkinson, RN
• Patrick Willems, P.T.A.
• Angela Anne Williams, LCSW
• Laura Williams, MS
• Tracy E. Williams, CSAC
• Nathaniel Willkomm, LPC

• General Practice Dentistry in Kenosha, WI
• Providers in Kenosha, WI by specialty
• General Practice Dentistry in Wisconsin

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