DR. EVAN GREGORY WILSON (NPI# 1821148735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821148735 |
| Entity Type | Individual |
| Full Name | DR. EVAN GREGORY WILSON |
| Credential | D.D.S., M.S. |
| Practice Address |
5220 Legendary Drive Frisco TX 75034-9197 |
| Practice Telephone | 9723770500 |
| Practice Fax Number | 2147221253 |
| Mailing Telephone | 9723770500 |
| Mailing Fax Number | 2147221253 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2010-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
18987 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588163935 | Evan Wilson | Specialist/Technologist | 615 Mccallie Ave Dept 6606, Chattanooga, TN 37403-2504 | 2018-02-12 |
| 1003298571 | Evan Jonathan Wilson | Military Health Care Provider | 2989 East Arow St, Yuma, AZ 85365 | 2015-06-22 |
| 1447850326 | Evan Hunter Wilson | Pharmacist | 3001 Avenue A, Dodge City, KS 67801-2270 | 2020-10-29 |
| 1669861324 | Evan Sarah Wilson | Social Worker | 5500 E Lombard St, Baltimore, MD 21224-1731 | 2015-01-20 |
| Street Address |
5220 LEGENDARY DRIVE |
| City | FRISCO |
| State | TX |
| Zip Code | 75034-9197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
| Find all providers in zip 75034 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324675 | Frisco Braces Pllc | Dentist | 5285 Dallas Pkwy Ste 500, Frisco, TX 75034-9634 | 2020-07-29 |
| 1922576396 | Bradley Buchwald Dmd | Dentist | 6549 Coit Rd, Ste 124, Frisco, TX 75035 | 2018-11-05 |
| 1174018568 | Thrive Dental and Orthodontics Pllc | Dentist | 10935 Rolater Rd, #210, Frisco, TX 75035 | 2018-06-27 |
| 1881005080 | Kimberly Rogers | Dentist | 5110 Eldorado Pkwy Ste 500, Frisco, TX 75033-8601 | 2014-05-11 |
| 1710109988 | Jason C Frazier | Dentist | 9359 Legacy Dr, Suite 100, Frisco, TX 75033-6749 | 2007-05-03 |
| 1942428859 | John B Wise | Dentist | 6960 Parkwood Blvd, #100, Frisco, TX 75034 | 2007-04-23 |
| 1790852382 | Brandon D. Price | Dentist | 5520 Independence Pkwy Ste 200, Frisco, TX 75035-4607 | 2006-11-29 |
| 1154492973 | Neelanjani S Prasad | Dentist | 1701 Legacy Dr Ste 200, Frisco, TX 75034-5989 | 2006-11-13 |
| 1023120300 | Carlos Nurko | Dentist | 6803 Preston Rd, Suite 122, Frisco, TX 75034-5823 | 2006-08-31 |
| 1003831199 | Jeffrey Robert Stump | Dentist | 101 West Main St, Ste. 105, Frisco, CO 80443-0645 | 2006-07-12 |
| Find all providers in FRISCO | ||||
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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.