Active NPI
Gabriela Tataru Wilson, DMD
- General Practice Dentistry
- Columbus, OH
National Provider Identifier
1861640625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7274
- Practice address
- 3727 Easton Market
Columbus, OH 43219-6023 - Phone
- (614) 476-8780
- Fax
- (614) 475-7006
- NPI assigned
- Sep 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30-022946 | OH | |
| General Practice Dentistry | 1223G0001X | 7274 | NV | Primary |
Addresses
Primary practice location
3727 Easton Market
Columbus, OH 43219-6023
Mailing address
7211 S Eastern Ave
Las Vegas, NV 89119-4574
Phone (702) 823-0086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7274 | NV | MD | General Practice Dentistry |
| 30-022946 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gabriela Wilson DMD LLC | Current | Accepting new patients | |
| Dr. Tamimi & Associates (Easton), Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Galion, OH
- NPI 1316812670
-
- General Practice Dentistry
- Columbus, OH
- NPI 1780836635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1861640625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7211 S EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891194574",
"telephone_number": "702-823-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3727 EASTON MARKET",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432196023",
"telephone_number": "614-476-8780",
"fax_number": "614-475-7006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "GABRIELA",
"middle_name": "TATARU",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-05",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30-022946",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "7274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.