Active NPI
Brian Eric Wilkes, DDS
- Dentist
- Douglassville, PA
National Provider Identifier
1912915992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS-028367L
- Practice address
- 515 Old Swede Rd
Douglassville, PA 19518-1208 - Phone
- (610) 385-0022
- Fax
- (610) 385-0025
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- 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 | DS-028367L | PA | Primary |
Addresses
Primary practice location
515 Old Swede Rd
Douglassville, PA 19518-1208
Mailing address
515 Old Swede Rd
Douglassville, PA 19518-1208
Phone (610) 385-0022
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 |
|---|---|---|---|
| DS-028367L | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coventry Dentistry LLC | Dentist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Pottstown, PA
- NPI 1417467945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912915992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 OLD SWEDE RD",
"city": "DOUGLASSVILLE",
"state": "PA",
"postal_code": "195181208",
"telephone_number": "610-385-0022",
"fax_number": "610-385-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 OLD SWEDE RD",
"city": "DOUGLASSVILLE",
"state": "PA",
"postal_code": "195181208",
"telephone_number": "610-385-0022",
"fax_number": "610-385-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKES",
"first_name": "BRIAN",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS-028367L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglassville, PA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.