Daylene Wilkins

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

905555 Issued in CO

Practice address

707 US Highway 24 N
Buena Vista, CO 81211-9863

Phone

(719) 395-8610

Fax

(719) 395-5745

NPI assigned

Mar 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Daylene Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1861142275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 US HIGHWAY 24 N",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812119863",
            "telephone_number": "719-395-8610",
            "fax_number": "719-395-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 US HIGHWAY 24 N",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812119863",
            "telephone_number": "719-395-8610",
            "fax_number": "719-395-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "DAYLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "905555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "905555",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAYLENE",
            "last_name": "WILSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• West Central Mental Health Center, Inc.
• Tammy White, MSPT,DPT
• Thomas Elwood White, M.D.
• Kellie Ann Whitney, BA
• Barbara A Wilder, MA CCC SLP
• William J. Franz, Ma, LMFT, PC
• Patricia L Winter, PH.D.
• Abbie Yellen, LPCC

• Dental Hygienist in Buena Vista, CO
• Providers in Buena Vista, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.