DR. DAVID PATRICK WICKNESS D.M.D.
NPI 1235202953
Dentist - General Practice in Champaign, IL

Active since November 17, 2006PECOS Enrolled
1701 S PROSPECT AVE, SUITE 203, CHAMPAIGN, IL 61820(217) 359-5050 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David Patrick Wickness D.m.d. NPPES

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

DR. DAVID PATRICK WICKNESS D.M.D. (NPI 1235202953) is an individual general practice provider in Champaign, Illinois and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235202953
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAVID PATRICK WICKNESSCredential: D.M.D.
Location Address1701 S PROSPECT AVE, SUITE 203Champaign, IL 61820-7050
Mailing Address1701 S Prospect Ave, Suite 203Champaign, IL 61820-7050 · (217) 359-5050
Sole ProprietorYes
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1235202953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
1701 S PROSPECT AVE, Champaign, IL 61820

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. David Patrick Wickness D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Psychologist (Clinical)
1701 S PROSPECT AVE, SUITE 205
CHAMPAIGN, IL 61820
Psychologist (Clinical)
1701 S PROSPECT AVE, SUITE 306
CHAMPAIGN, IL 61820
Psychologist (Clinical)
1701 S PROSPECT AVE, SUITE 205
CHAMPAIGN, IL 61820
Psychologist (Group Psychotherapy)
1701 S PROSPECT AVE, SUITE 302
CHAMPAIGN, IL 61820
Psychologist
1701 S PROSPECT AVE, SUITE 202
CHAMPAIGN, IL 61820
Counselor (Professional)
1701 S PROSPECT AVE, SUITE 101
CHAMPAIGN, IL 61820
Counselor (Professional)
1701 S PROSPECT AVE, SUITE 101
CHAMPAIGN, IL 61820

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 David Wickness's NPI number?

The NPI number for David Wickness is 1235202953. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is David Wickness located?

David Wickness practices at 1701 S Prospect Ave Suite 203, Champaign, IL 61820. The listed phone number is (217) 359-5050.

What is David Wickness's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is David Wickness enrolled in Medicare?

Yes. David Wickness is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Wickness was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.