Active NPI
Kristina L. Wiley, DDS, Inc.
- General Practice Dentistry
- Dixon, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D41149
- Legal business name
- KRISTINA L. WILEY, DDS, INC.
- Practice address
- 805 N Lincoln St Ste a
Dixon, CA 95620-2172 - Phone
- (707) 678-9248
- Fax
- (707) 678-9274
- NPI assigned
- Feb 15, 2008
- Last updated
- Feb 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kristina Linde Wiley, D.D.S.
- Title
- Owner
- Phone
- (707) 678-9248
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D41149 | CA | Primary |
Addresses
Primary practice location
805 N Lincoln St Ste a
Dixon, CA 95620-2172
Mailing address
805 N. Lincoln St Suite a
Dixon, CA 95620
Phone (707) 678-9248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9337301 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Kristina L Wiley DDS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Dixon, CA
- NPI 1821398587
Locations
805 N Lincoln St
Ste A
Dixon, CA 95620
Phone (707) 678-9248
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Dixon, CA
- NPI 1982788774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203033600000",
"number": "1922276591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 N. LINCOLN ST SUITE A",
"city": "DIXON",
"state": "CA",
"postal_code": "95620",
"telephone_number": "707-678-9248",
"fax_number": "707-678-9274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 N LINCOLN ST STE A",
"city": "DIXON",
"state": "CA",
"postal_code": "956202172",
"telephone_number": "707-678-9248",
"fax_number": "707-678-9274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTINA L. WILEY, DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-15",
"status": "A",
"authorized_official_last_name": "WILEY",
"authorized_official_first_name": "KRISTINA",
"authorized_official_middle_name": "LINDE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-678-9248",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "D41149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G9337301",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dixon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.