| NPI | 1164533345 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-08-31 |
| Last Updated | 2007-07-08 |
| Mailing Address | 100 River Place, Suite 110 Madison, WI 53716 United States Phone: (608) 222-6160 | Fax: (608) 222-6248 📍 View Map |
| Primary Practice Address | 100 River Place, Suite 110 Madison, WI 53716 United States Phone: (608) 222-6160 | Fax: (608) 222-6248 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WI | 33376600 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 1223P0221X – Dentist, Pediatric Dentistry | WI | 1695G |
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About NPI 1164533345
Douglas W Wilson DDS is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1164533345. The primary specialty listed is Dentist, Pediatric Dentistry. The provider is located in Madison, WI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164533345?
NPI 1164533345 belongs to Douglas W Wilson DDS, a Dentist, Pediatric Dentistry in Madison, WI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164533345 active?
The current status of NPI 1164533345 in the NPPES registry is Active. The record was last updated on 2007-07-08.
What specialty is NPI 1164533345?
NPI 1164533345 is classified under the taxonomy Dentist, Pediatric Dentistry. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164533345?
You can verify NPI 1164533345 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164533345?
The primary practice address on file for NPI 1164533345 is 100 River Place, Madison, WI 53716. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164533345 issued?
NPI 1164533345 was first issued (enumerated) on 2006-08-31. The NPPES record was last updated on 2007-07-08.
Practice Location Map
Douglas W Wilson is located at 100 River Place, Madison, WI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Douglas W Wilson. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164533345. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist, Pediatric Dentistry | 1695G | WI |