THOMAS K WILSON DMD LLC (NPI# 1477897155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477897155 |
| Entity Type | Organization |
| Organization Name | THOMAS K WILSON DMD LLC |
| Practice Address |
520 S Santa Fe Ave 240 Salina KS 67401-4190 |
| Practice Telephone | 7858279325 |
| Practice Fax Number | 7858276252 |
| Mailing Telephone | 7858279325 |
| Mailing Fax Number | 7858276252 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-12-26 |
| Authorized Official Name | THOMAS K WILSON (PROPRIETOR) |
| Authorized Official Telephone | 7858279325 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5719 | KS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | MEDICARE PTAN | 008775 | 01 |
| Street Address |
520 S SANTA FE AVE 240 |
| City | SALINA |
| State | KS |
| Zip Code | 67401-4190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379113 | Christopher M Brown | Family Medicine | 520 S Santa Fe Ave, Suite 480, Salina, KS 67401-4190 | 2005-07-08 |
| 1801310941 | Eric Michael Jusko | Specialist/Technologist | 520 S Santa Fe Ave, Salina, KS 67401-4190 | 2017-07-31 |
| 1033664388 | Stacia Brenneman | Physical Therapist | 520 S Santa Fe Ave, Salina, KS 67401-4190 | 2016-08-16 |
| 1326437690 | Renee K Riedel | Dietitian, Registered | 520 S Santa Fe Ave, Suite 300, Salina, KS 67401-4190 | 2015-01-09 |
| 1376931196 | Stephanie Ravenstien | Nurse Anesthetist, Certified Registered | 520 S Santa Fe Ave, #520, Salina, KS 67401-4190 | 2014-12-31 |
| 1699182402 | Justin Jurgens | Registered Nurse | 520 S Santa Fe Ave, Salina, KS 67401-4190 | 2014-07-14 |
| 1184041204 | Shannon Mawyin | Nurse Anesthetist, Certified Registered | 520 S Santa Fe Ave, 260, Salina, KS 67401-4190 | 2014-03-26 |
| 1396099057 | Aubrey Jordan Fetherston | Physician Assistant | 520 S Santa Fe Ave, Suite 300, Salina, KS 67401 | 2012-11-02 |
| 1003164716 | Ashley Dinkel Westerman | Nurse Anesthetist, Certified Registered | 520 S Santa Fe Ave, Suite 260, Salina, KS 67401-4190 | 2012-08-28 |
| 1093081366 | Holly Beth Vancleave | Physical Therapist | 520 S Santa Fe Ave, 4th Floor, Salina, KS 67401-4190 | 2012-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757285 | Hannah Heckerson | Counselor | 809 Elmhurst Blvd., Salina, KS 67401 | 2020-07-16 |
| 1942835525 | Kristen Rangel | Behavioral Analyst | 1710 W Schilling Road, Salina, KS 67401 | 2020-03-04 |
| 1063044485 | Summar Anthony | Registered Nurse | 400 S. Sante Fe Ave, Salina, KS 67401 | 2020-02-05 |
| 1821637398 | Kari Anne Nunn | Nurse Anesthetist, Certified Registered | Anesthesia Associates of Central Kansas, P.a., 200 S. 5th St, Salina, KS 67401 | 2020-01-02 |
| 1780157982 | Clear Horizon Therapy Inc | Clinic/Center | 625 E. Crawford Street Suite 209d, Salina, KS 67401 | 2019-01-10 |
| 1790273472 | Sadie E Schnetzler | Nurse Practitioner | 520 S. Santa Fe Ave, Suite 240, Salina, KS 67401 | 2018-04-27 |
| 1932607629 | Oasis Counseling Services LLC | Community/Behavioral Health | 917 E Prescott Rd, Suite 100a, Salina, KS 67401 | 2018-01-26 |
| 1194255661 | Gabriel Keith Harr | Dentist | 1941 S. Ohio St, Salina, KS 67401 | 2017-06-15 |
| 1275068611 | Tammy Michelle Fox | Counselor | 1805 S. Ohio Street, Salina, KS 67401 | 2017-04-24 |
| 1629500285 | Nathaniel Elliott | Physician Assistant | 1001 S. Ohio St, Salina, KS 67401 | 2017-03-31 |
| Find all providers in zip 67401 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881672319 | Barton George Bycroft | Dentist | 1111 Parkwood Dr, Salina, KS 67401-6673 | 2006-01-04 |
| 1669452595 | Thomas King Wilson | Dentist | 520 S Santa Fe Ave, Suite 240, Salina, KS 67401-4190 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362638 | Philip J Gordon Dds Pa | Dentist | 3628 W 95th St, Leawood, KS 66206-2035 | 2020-07-02 |
| 1902170483 | Matthew C. Lowe Dds Inc | Dentist | 2711 S. Rouse St., Ste A, Mt. Carmel Plaza, Pittsburg, KS 66762 | 2012-03-01 |
| 1639449259 | John R Provenzano Dds,pa | Dentist | 1515 S Clifton Ave Ste 120, Wichita, KS 67218-2951 | 2012-01-12 |
| 1013220813 | Kenneth W. Nelson, Dds, Pa | Dentist | 1919 N. Webb Rd, Wichita, KS 67206-3405 | 2010-07-21 |
| 1699099465 | Mohammad Nomani | Dentist | 4201 Anderson Ave Ste E, Manhattan, KS 66503-7603 | 2010-03-22 |
| 1114162104 | Midwest Oral & Maxillofacial Surgery, Pa | Dentist | 11551 Granada Lane, 100, Leawood, KS 66211-1914 | 2008-12-05 |
| 1578724225 | Matthew C. Lowe, Dds, PC | Dentist | 2711 S Rouse St Ste A, Pittsburg, KS 66762-6621 | 2008-06-24 |
| 1144403536 | Brendan Bell | Dentist | 2004 Clock Tower Plz # 130, Manhattan, KS 66503-6403 | 2007-12-10 |
| 1114106739 | S Kirk Vincent D.d.s., L.c. | Dentist | 4811 Bob Billings Parkway, Suite A, Lawrence, KS 66049 | 2007-10-31 |
| 1992843510 | Richard Martin Oakley | Dentist | 5811 Nall Ave, Mission, KS 66202-2731 | 2007-02-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.