DR. JODY RENEE WILSON (NPI# 1760865406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760865406 |
| Entity Type | Individual |
| Full Name | DR. JODY RENEE WILSON |
| Credential | D.D.S |
| Practice Address |
11711 N Pennsylvania St Suite 114 Carmel IN 46032-6959 |
| Mailing Address |
3532 Soaring Eagle Ct Indianapolis IN 46214-1468 |
| Practice Telephone | 3178160841 |
| Mailing Telephone | 3175518040 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2017-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12012331A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386187805 | Jody Wilson | Speech-Language Pathologist | 22 Woessner St, Pittsburgh, PA 15212-3524 | 2016-12-01 |
| 1598324493 | Jody Scott Wilson | Counselor | 81 Township Road 349, Ironton, OH 45638-8617 | 2019-06-13 |
| 1023375177 | Jody Wilson | Social Worker | 1055 Clermont St, Department of Veterans Affairs - Va Medical Center, Denver, CO 80220-3808 | 2012-04-13 |
| 1518933290 | Jody M Wilson | Pediatrics | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 | 2006-02-23 |
| Street Address |
11711 N PENNSYLVANIA ST SUITE 114 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-6959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619065992 | Amy Evans | Dentist | 11711 N Pennsylvania St, Suite 114, Carmel, IN 46032-6959 | 2006-10-11 |
| 1922530823 | Wilson Dentistry LLC | Dentist | 11711 N Pennsylvania St, Carmel, IN 46032-6959 | 2017-03-30 |
| 1417129966 | Image Dental | Dentist | 11711 N Pennsylvania St, Suite 114, Carmel, IN 46032-6959 | 2008-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466055 | Marcus Bigot | Dentist | 13590b N Meridian St Ste 101, Carmel, IN 46032-1409 | 2020-08-07 |
| 1912557026 | Amanda L. Maize, Dmd, LLC | Dentist | 12904 Grand Blvd, Carmel, IN 46032-5256 | 2019-09-19 |
| 1114499977 | Robert Taylor Dds, PC | Dentist | 301 E Carmel Dr Ste H100, Carmel, IN 46032-2897 | 2018-12-18 |
| 1689168379 | Jillian Joyce | Dentist | 2000 E 116th St Ste 110, Carmel, IN 46032-3581 | 2018-06-18 |
| 1588168876 | Lakewood Family Dental of Carmel LLC | Dentist | 2330 E 116th St, Carmel, IN 46032-3217 | 2018-03-21 |
| 1396275327 | Sean Brett Kelly | Dentist | 13590b North Meridian Street, 101, Carmel, IN 46032-1409 | 2017-06-13 |
| 1417483876 | Andrew Bloom | Dentist | 200 Medical Dr Ste A, Carmel, IN 46032-2985 | 2017-05-04 |
| 1710422209 | Lak Dds LLC | Dentist | 14560 River Rd, Suite 105, Carmel, IN 46033-5801 | 2016-12-20 |
| 1942750278 | Hazel Dell Crossing Dental LLC | Dentist | 14555 Hazel Dell Pkwy Ste 130, Carmel, IN 46033-7234 | 2016-10-11 |
| 1083084347 | Virginia Young | Dentist | 2169 Glebe St Ste 200, Carmel, IN 46032-7380 | 2015-09-30 |
| Find all providers in CARMEL | ||||
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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.