WADE WILSON (NPI# 1629639018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629639018 |
| Entity Type | Individual |
| Full Name | WADE WILSON |
| Practice Address |
334 W Us Highway 30 Ste G Valparaiso IN 46385-5395 |
| Practice Telephone | 2194649887 |
| Mailing Telephone | 2194649887 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12013223A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518290568 | Wade Alan Wilson | Counselor | 4600 47th Ave, Sacramento, CA 95824-3923 | 2009-09-09 |
| Street Address |
334 W US HIGHWAY 30 STE G |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46385-5395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831738657 | William K Mitchell V | Nurse Anesthetist, Certified Registered | 85 E Us-6 Frontage Rd, Valparaiso, IN 46385 | 2019-12-26 |
| 1235609850 | Krystal Melinda Ketchem | Specialist/Technologist | 786 Mccool Rd Suite 8, Valparaiso, IN 46385 | 2018-11-27 |
| 1295254738 | Tiffany Rudziewicz | Massage Therapist | 417 Center St., Valparaiso, IN 46385 | 2017-09-15 |
| 1700255866 | Stephanie Ebsch | Developmental Therapist | 332 W Hwy 6, Valparaiso, IN 46385 | 2015-09-18 |
| 1851781637 | Emily Bisch | Specialist/Technologist | 304 Alba Ct, Valaparaiso, IN 46385 | 2015-01-30 |
| 1255734042 | Jacobs Ladder | Early Intervention Provider Agency | 322 W. 806n, Valparaiso, IN 46385 | 2014-10-07 |
| 1952715062 | Emily Barnes | Occupational Therapist | 332 W. Hwy 6, Valparaiso, IN 46385 | 2014-06-17 |
| 1073853990 | April M Sanders | Social Worker | 660 W. Morthland Dr, Valparraiso, IN 46385 | 2013-03-01 |
| 1245528843 | Bridget K Sibo | Social Worker | 2453 Knights Bridge Drive, Valparaiso, IN 46385 | 2011-07-16 |
| 1053586883 | Luis L Cuellar Jr. | Dentist | 225 Aberdeen Drive, Suite E, Valparaiso, IN 46385 | 2008-04-23 |
| Find all providers in zip 46385 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013368695 | Megan Schmidt | Dentist | 2005 Roosevelt Rd Ste B, Valparaiso, IN 46383-2746 | 2016-06-25 |
| 1881044105 | Bilal Alnahass | Dentist | 503 Silhavy Rd Ste 105, Valparaiso, IN 46383-4494 | 2016-06-17 |
| 1306229562 | Bradley Wisowaty | Dentist | 809 Wall St Ste A, Valparaiso, IN 46383-2571 | 2015-07-07 |
| 1528349800 | Isaac Nathan Zeckel | Dentist | 1001 North Sturdy Rd., Valparaiso, IN 46383-4126 | 2011-08-31 |
| 1093025785 | William Stanley Anderson | Dentist | 2602 Valley Dr, Valparaiso, IN 46383-2511 | 2010-10-14 |
| 1528181286 | Vinay Aswath | Dentist | 2050 Laporte Ave., Suite 111, Valparaiso, IN 46383 | 2007-04-09 |
| 1114045242 | William Craig Amos | Dentist | 3100 N Campbell St, Valparaiso, IN 46385 | 2007-03-27 |
| 1124187398 | Michael John Uzelac | Dentist | 850 Marsh St, Suite A, Valparaiso, IN 46385 | 2006-12-06 |
| 1265501092 | Robert Fleming Shankland | Dentist | 105 Lafayette Street, Valparaiso, IN 46383 | 2006-11-07 |
| 1730299595 | Gregory Scott Macdonald | Dentist | 552 Vale Park Rd, Suite A, Valparaiso, IN 46385-2547 | 2006-08-30 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46385 |
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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.