NPIMap

Organization Active NPI

Robert Wilson, DDS

Doing business as Brightside Dentistry

  • Dentist
  • Denton, TX
National Provider Identifier
1972981728
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25145 Issued in TX
Legal business name
ROBERT WILSON, DDS
Doing business as
Brightside Dentistry
Practice address
1116 N Elm St
Denton, TX 76201-2939
Phone
(940) 566-1921
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Robert James Wilson, DDS
Title
Owner/Dentist
Phone
(940) 566-1921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 25145 TX Primary

Addresses

Primary practice location

1116 N Elm St
Denton, TX 76201-2939

Mailing address

1116 N Elm St
Denton, TX 76201-2939
Phone (940) 566-1921

Other names 1

  • Brightside Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1116 N Elm St
Denton, TX 76201
Phone (940) 566-1921

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1972981728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 N ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012939",
            "telephone_number": "940-566-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 N ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012939",
            "telephone_number": "940-566-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT WILSON, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "940-566-1921",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "25145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightside Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.