Timothy Lea Wilson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.023282 Issued in OH

Practice address

2655 Columbus St
Grove City, OH 43123-2804

Phone

(614) 875-6601

NPI assigned

Jan 20, 2012

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 and National Provider Directory roles.

• John J. Dubos, D.D.S., Inc.

  • General Practice Dentistry
  • Grove City, OH
  • NPI 1619090552
  NPD (past)

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1962773002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 EPIC WAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238142",
            "telephone_number": "614-886-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 COLUMBUS ST",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232804",
            "telephone_number": "614-875-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TIMOTHY",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Ann Wilson, M.D.
• Patrice Wilson, BSSW
• Robert E Wilson III
• Sherri Kay Wilson, LPC, CRC,CDCA
• Susan Wilson, DPT, PT
• Kurt M Windfeldt, LPN
• Charles Harold Winkler Jr., LPCC-S
• Rebecca Winland
• David Leslie Wirt, M.ED., LPCC
• Carla Wisard, M.A.

• General Practice Dentistry in Grove City, OH
• Providers in Grove City, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.