Robert Lawrence Wilson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3165 Issued in AR

Practice address

708 W Quitman St
Heber Springs, AR 72543-3752

Phone

(501) 362-5897

Fax

(501) 362-2454

NPI assigned

Jul 31, 2006

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 AR

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 and National Provider Directory roles.

• Robert L. Wilson DDS, P.a.

  • Dentist
  • Heber Springs, AR
  • NPI 1396958773
  NPD (past) Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902812852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 W QUITMAN ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433752",
            "telephone_number": "501-362-5897",
            "fax_number": "501-362-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W QUITMAN ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433752",
            "telephone_number": "501-362-5897",
            "fax_number": "501-362-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ROBERT",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Rose Williams, APRN
• Manichanh Nikki Williams, APN
• Sandra Lynn Williams, LCSW
• Cody Willis, LPC
• Blair Wilson
• Robert Ray Wilson, DDS
• Sinclair Winburn, LCSW
• Ashley M Winter, LPC
• Amy E Wood
• Rock A Wooster, DC

• Dentist in Heber Springs, AR
• Providers in Heber Springs, AR by specialty
• Dentist in Arkansas

• 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.