DR. RUSSELL THOMAS WILSON DDS, MSD
NPI 1154109825
Dentist - Orthodontics and Dentofacial Orthopedics in Post Falls, ID

Active since September 14, 2023
602 N CALGARY CT STE 302, POST FALLS, ID 83854(208) 777-0500 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Russell Thomas Wilson Dds, Msd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUSSELL THOMAS WILSON DDS, MSD (NPI 1154109825) is an individual orthodontics and dentofacial orthopedics provider in Post Falls, Idaho, licensed in Idaho (D-5563-OR) and active in the NPI registry since September 2023. He maintains a secondary practice location in Coeur D Alene.

NPPES Registry Identity

NPI1154109825
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. RUSSELL THOMAS WILSONCredential: DDS, MSD
Location Address602 N CALGARY CT STE 302Post Falls, ID 83854-4000
Mailing Address2349 W Bastien LoopCoeur D Alene, ID 83815-7602 · (307) 389-9143
Sole ProprietorNo
Enumeration DateSeptember 14, 2023
Last NPPES UpdateMay 13, 2025
NPPES CertifiedMay 13, 2025
✔ NPI 1154109825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License✔ Licensed in ID · D-5563-OR
Definition
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.
602 N CALGARY CT STE 302, Post Falls, ID 83854

Secondary Practice Location 1

Location 1215 W Canfield AveCoeur D Alene, ID 83815-7736 · Phone (208) 772-7272

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
602 N CALGARY CT STE 302
POST FALLS, ID 83854

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Wilson's NPI number?

The NPI number for Russell Wilson is 1154109825. It was assigned to this individual provider in the NPPES registry on September 14, 2023.

Where is Russell Wilson located?

Russell Wilson practices at 602 N Calgary Ct Ste 302, Post Falls, ID 83854. The listed phone number is (208) 777-0500.

What is Russell Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Russell Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, HRI Dental & Vision, Humana and Paramount and 1 other insurer list Russell Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Russell Wilson was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.