Michael Keith Wilkerson, D.D.S., M.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

16232 Issued in TX

Practice address

4410 N Midkiff Rd
Suite D-1
Midland, TX 79705-4246

Phone

(432) 689-5437

Fax

(432) 699-5719

NPI assigned

Jan 14, 2007

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831240217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 N MIDKIFF RD",
            "address_2": "SUITE D-1",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054246",
            "telephone_number": "432-689-5437",
            "fax_number": "432-699-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 N MIDKIFF RD",
            "address_2": "SUITE D-1",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054246",
            "telephone_number": "432-689-5437",
            "fax_number": "432-699-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "MICHAEL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "16232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristian Nicole Whitley, FNP-C
• Joan H Whitt, LPC
• Ericka Whittaker, DNAP CRNA
• Stephen L Wiesenfeld
• Heddy Wigington, FDN
• Deborah Lynn Wilkins, M ED CCC SLP
• Andrea Jean Willard, P.T.
• Kevin Shawn Willhite, D.C.
• Natalie Janae Willhite, PT
• Elizabeth Kay Williams, PT, MS

• Pediatric Dentistry in Midland, TX
• Providers in Midland, TX by specialty
• Pediatric Dentistry in Texas

• 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.