Ronald Dennis Wilkerson, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

2008017415 Issued in MO

Practice address

414 W James Blvd
Saint James, MO 65559-1219

Phone

(573) 265-8402

NPI assigned

Jun 24, 2008

Last updated

Sep 2, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• N.E. Grover,D.M.D.,P.C.

  • General Practice Dentistry
  • Saint James, MO
  • NPI 1649334665
  NPD (past)
• South Central Missouri Community Health Center

  dba Your Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Saint James, MO
  • NPI 1518588896
  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1942461728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W JAMES BLVD",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591219",
            "telephone_number": "573-265-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W JAMES BLVD",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591219",
            "telephone_number": "573-265-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "RONALD",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2008017415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen L. Weinbaum, CCC/SLP
• Jonathan Michael Wells, MS, PLPC
• Bill Whistler
• Susanna Heike White, LPC
• William Eugene White Jr., LPC
• Timothy Wilson, PHARM.D.
• Lauren Renee Zanaboni, MSW, LMSW

• Dentist in Saint James, MO
• Providers in Saint James, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.