Donald B. Wilcoxon D.D.S, M.S., PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

6068 Issued in KS

Legal business name

DONALD B. WILCOXON D.D.S, M.S., PA

Practice address

4601 W 109TH St
Suite 310
Overland Park, KS 66211-1318

Phone

(913) 661-9901

Fax

(913) 661-9702

NPI assigned

Jan 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Donald Wilcoxon, D.D.S., M.S.NPI 1679535009

Title

Owner President

Phone

(913) 661-9901

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald B. Wilcoxon, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Overland Park, KS
  • NPI 1679535009
  NPD (past) Authorized official

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932255288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 W 109TH ST",
            "address_2": "SUITE 310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111318",
            "telephone_number": "913-661-9901",
            "fax_number": "913-661-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 W 109TH ST",
            "address_2": "SUITE 310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111318",
            "telephone_number": "913-661-9901",
            "fax_number": "913-661-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD B. WILCOXON D.D.S, M.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILCOXON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "913-661-9901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KS",
            "license": "6068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6068",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "13166",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Andrew Dolenz, D.D.S.
• Katie Jill Dollar, PHARMD
• Xavier Domenech
• Tara Renee Dominguez, PT
• Leslie Suzanne Domsch, APRN
• Bayli Nikole Donaldson, PA-C
• Cheryl Petty Donaldson, LCMFT
• Michelle Renee Donaldson, RPH
• Jamesia Diandra Donato, M.D.
• Matthew Sean Donegan, CRNA

• Orthodontics and Dentofacial Orthopedics Dentistry in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.