1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Dentist
  6. NPI Profile

TIMOTHY A WILSON DDS
NPI 1366582454
Dentist - Pediatric Dentistry in Las Vegas, NV

Active since February 07, 2007
169 N NELLIS BLVD, LAS VEGAS, NV 89110(702) 384-1010(702) 438-8424 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Timothy A Wilson Dds NPPES

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

TIMOTHY A WILSON DDS (NPI 1366582454) is an individual pediatric dentistry provider in Las Vegas, Nevada, licensed in Nevada (S6-142) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1366582454
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameTIMOTHY A WILSONCredential: DDS
Location Address169 N NELLIS BLVDLas Vegas, NV 89110-5320
Mailing Address526 S Tonopah Dr, Ste. 200Las Vegas, NV 89106-4043 · (702) 291-2031 · Fax (702) 366-1483
Phone(702) 384-1010
Fax(702) 438-8424
Sole ProprietorYes
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 18, 2016
✔ NPI 1366582454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NV · S6-142
Definition
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.
Also ListedDentistTaxonomy 122300000X · License 4522T (NV)
169 N NELLIS BLVD, Las Vegas, NV 89110
Open in Google Maps ↗

Other Identifiers 3

Medicaid10052976NV
Medicaid1366582454NV
Medicaid100506669NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Florida Combined Life, Guardian and more.Insurance ›

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.

DR. JOAN LANDRON DMD
Dentist
169 N NELLIS BLVD
LAS VEGAS, NV 89110
Clark County (702) 384-1010
ABSOLUTE DENTAL NELLIS, LLC
Dentist
169 N NELLIS BLVD
LAS VEGAS, NV 89110
Clark County (702) 435-5015
KEYMON HAMILTON DDS
Student in an Organized Health Care Education/Training Program
169 N NELLIS BLVD
LAS VEGAS, NV 89110
Clark County (702) 384-1010
DR. AIDA FLAVIA CAPPIELLO D.D.S.
Dentist (General Practice)
169 N NELLIS BLVD
LAS VEGAS, NV 89110
Clark County (702) 384-1010
DR. YESENIA PADILLA DMD
Dentist (General Practice)
169 N NELLIS BLVD
LAS VEGAS, NV 89110
Clark County (702) 384-1010
DR. RENALIE MANUEL DDS
Dentist (Pediatric Dentistry)
169 N NELLIS BLVD
LAS VEGAS, NV 89110
Clark County (702) 384-1010
ARTISTIC ORTHODONTICS, INC
Dentist (Orthodontics and Dentofacial Orthopedics)
169 N NELLIS BLVD
LAS VEGAS, NV 89110
Clark County (702) 438-2188

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 Timothy Wilson's NPI number?

The NPI number for Timothy Wilson is 1366582454. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Timothy Wilson located?

Timothy Wilson practices at 169 N Nellis Blvd, Las Vegas, NV 89110. The listed phone number is (702) 384-1010.

What is Timothy Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Timothy Wilson accept?

Health plans from Blue Cross Blue Shield of Arizona, Florida Combined Life, Guardian, Humana and Renaissance Dental and 2 other insurers list Timothy 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 Timothy Wilson was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.