Active NPI
Don M Wilkins, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Casselberry, FL
National Provider Identifier
1922337419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN5366
- Practice address
- 879 State Road 436
Casselberry, FL 32707-5360 - Phone
- (407) 767-7600
- Fax
- (407) 767-7630
- NPI assigned
- Dec 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN5366 | FL | Primary |
Addresses
Primary practice location
879 State Road 436
Casselberry, FL 32707-5360
Mailing address
926 Great Pond Dr
Suite 2002
Altamonte Springs, FL 32714-7244
Phone (407) 772-5124
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 |
|---|---|---|---|
| DN5366 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1922337419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 GREAT POND DR",
"address_2": "SUITE 2002",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327147244",
"telephone_number": "407-772-5124",
"fax_number": "407-788-3572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 STATE ROAD 436",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327075360",
"telephone_number": "407-767-7600",
"fax_number": "407-767-7630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "DON",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-14",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN5366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casselberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.