COREY J WILSON DMD
NPI 1598287617
Dentist - Pediatric Dentistry in Indianapolis, IN

Q: What is Corey Wilson's NPI number?

The NPI number for Corey Wilson is 1598287617. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Q: What is Corey Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Corey Wilson was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 11, 2017PECOS Enrolled

1522 W MORRIS ST, INDIANAPOLIS, IN 46221(317) 957-2500(317) 957-2520 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 4, 2024, May 10, 2021, Jul 11, 2017 (3 updates tracked since 2017).

On this page

About Corey J Wilson Dmd NPPES

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

COREY J WILSON DMD (NPI 1598287617) is an individual pediatric dentistry provider in Indianapolis, Indiana, licensed in Indiana (12012788A) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598287617

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameCOREY J WILSONCredential: DMD

Location Address1522 W MORRIS STIndianapolis, IN 46221-1629

Mailing Address10820 Pendleton Pike Ste BIndianapolis, IN 46236-2952 · (317) 597-0184

Phone(317) 957-2500

Fax(317) 957-2520

Sole ProprietorNo

Enumeration DateJuly 11, 2017

Last NPPES UpdateJune 4, 20243 updates tracked since enumeration

NPPES CertifiedJune 4, 2024

✔ NPI 1598287617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in IN · 12012788A

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 12012788A (IN)

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 12012788A (IN)

1522 W MORRIS ST, Indianapolis, IN 46221

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Corey J Wilson Dmd 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 46221 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 20

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

TRACY L MORRISON PMHNP

Nurse Practitioner (Psychiatric/Mental Health)