KADIN K WILSON (NPI# 1518385756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518385756 |
| Entity Type | Individual |
| Full Name | KADIN K WILSON |
| Credential | DMD |
| Practice Address |
3725 W 4100 S West Valley City UT 84120-5411 |
| Mailing Address |
1275 30th St San Diego CA 92154-3476 |
| Practice Telephone | 8019698881 |
| Practice Fax Number | 8019698889 |
| Mailing Telephone | 6192051950 |
| Mailing Fax Number | 6192051951 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9719126-9922 | UT | Dental Providers |
| Street Address |
3725 W 4100 S |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84120-5411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710985726 | Edgar Booth | Radiology | 3725 W 4100 S, Ste 102, West Valley City, UT 84120-5417 | 2005-07-13 |
| 1720634686 | Anika Kathleen Jansen | Physical Therapist | 3725 W 4100 S, West Valley City, UT 84120-5411 | 2019-08-15 |
| 1083278717 | Shanell N Rich | Registered Nurse | 3725 W 4100 S, West Valley City, UT 84120-5411 | 2019-04-29 |
| 1578040465 | Corey Neerings | Nurse Practitioner | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2018-07-23 |
| 1760968887 | Ashley Anne Aardsma | Physical Therapist | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2018-07-11 |
| 1184145617 | Ryan Marcus White | Nurse Practitioner | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2017-07-06 |
| 1952859852 | Connor England | Physician Assistant | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2016-09-20 |
| 1154797330 | Shelly Head | Specialist/Technologist | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2015-08-11 |
| 1639554199 | Michelle Looye | Social Worker | 3725 W 4100 S, West Valley City, UT 84120-5411 | 2015-07-27 |
| 1609271188 | Ben Sumner | Physician Assistant | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2014-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
| 1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
| 1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| Find all providers in zip 84120 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235255654 | Leland V. Powell | Dentist | 2682 Anna Caroline Dr, West Valley City, UT 84128-5003 | 2007-03-21 |
| 1568750727 | Diya Chadha | Dentist | 3730 W 4700 S, West Valley City, UT 84118-3457 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891462 | South Davis Pediatric Dentistry LLC | Dentist | 59 W Pages Ln Ste 110, Bountiful, UT 84010-5988 | 2020-11-02 |
| 1376176198 | Happy Tooth Pediatric Dentistry, LLC | Dentist | 2453 E 3300 S, Millcreek, UT 84109-2725 | 2020-02-20 |
| 1750932273 | Michael R. Brown Dds Ms | Dentist | 1240 E 100 S Ste 120, St George, UT 84790-3079 | 2019-09-25 |
| 1609438357 | Children's Landing Pediatric Dentistry, PC | Dentist | 3855 W 7800 S Ste 200, West Jordan, UT 84088-5563 | 2019-07-02 |
| 1841766821 | Dry Creek Pediatric Dentistry | Dentist | 3300 N Running Creek Way F101, Lehi, UT 84043 | 2018-10-17 |
| 1639654684 | Clubhouse Pediatric Dentistry of West Jordan | Dentist | 1108 E South Union Ave, Midvale, UT 84047-2904 | 2018-09-26 |
| 1639667801 | St. George Kids Dental At Snow Canyon | Dentist | 1100 Canyon View Dr Ste A, Santa Clara, UT 84765-5672 | 2018-04-24 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1013420553 | Kevin Brown Dmd, LLC | Dentist | 1030 S 1100 W, Suite B, Lehi, UT 84043 | 2017-11-07 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| Find all providers with the same taxonomy | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84120 |
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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.