Madeline J Wilson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901600919APP21 Issued in MI

Practice address

123 South St
Chelsea, MI 48118-1235

Phone

(734) 475-8500

NPI assigned

May 12, 2021

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 names 1

• Madeline Rickert Former name

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.

• Chelsea Family Dentistry PLC

  • General Practice Dentistry
  • Chelsea, MI
  • NPI 1811174162
  NPD (past)

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1972187193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 S MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181328",
            "telephone_number": "734-945-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SOUTH ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181235",
            "telephone_number": "734-475-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MADELINE",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600919APP21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "RICKERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Michael Williams, MD
• Willow Ridge Therapy, LLC
• Carol J Wilson, PT
• Elizabeth Kim Wilson
• Kayla Wilson, LMSW
• Traci Wilson, MA LLP
• Megan Ann Wojton, LPN, CDP
• Barth Allen Wolf, DPM
• Anthony Wong, M.D.
• Owen Jeffrey Wood, PA-C

• Dentist in Chelsea, MI
• Providers in Chelsea, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.