Allison Wilson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3565 Issued in WV

Practice address

5861 Mason-Dixon Highway
Box 72
Blacksville, WV 26521

Phone

(304) 432-8211

Fax

(304) 432-8213

NPI assigned

Apr 21, 2006

Last updated

Feb 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1962468603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5861 MASON-DIXON HIGHWAY",
            "address_2": "BOX 72",
            "city": "BLACKSVILLE",
            "state": "WV",
            "postal_code": "26521",
            "telephone_number": "304-432-8211",
            "fax_number": "304-432-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5861 MASON-DIXON HIGHWAY",
            "address_2": "BOX 72",
            "city": "BLACKSVILLE",
            "state": "WV",
            "postal_code": "26521",
            "telephone_number": "304-432-8211",
            "fax_number": "304-432-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALLISON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4005183000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodie Howell, MD
• William Reeves Minor, DO
• Breanna Orrahood
• Louis Ortenzio Jr., MD
• Michael Tomoroksa, DDS
• Angela Wilson

• Dentist in Blacksville, WV
• Providers in Blacksville, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.