Active NPI
Dianna Jane Wilde, DDS
- Dentist
- Houston, TX
National Provider Identifier
1891066080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24006
- Practice address
- 514A Elgin St
Houston, TX 77006-6602 - Phone
- (713) 942-0101
- Fax
- (713) 942-7014
- NPI assigned
- Jan 19, 2012
- Last updated
- Jan 19, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 24006 | TX | Primary |
Addresses
Primary practice location
514A Elgin St
Houston, TX 77006-6602
Mailing address
514A Elgin St
Houston, TX 77006-6602
Phone (713) 942-0101
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 |
|---|---|---|---|
| 24006 | TX | MD | Clinical Social Worker |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1891066080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514A ELGIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770066602",
"telephone_number": "713-942-0101",
"fax_number": "713-942-7014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514A ELGIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770066602",
"telephone_number": "713-942-0101",
"fax_number": "713-942-7014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDE",
"first_name": "DIANNA",
"middle_name": "JANE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "24006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.