MR. TOMMY WILSON DMD
NPI 1639674427
Dentist - General Practice in Charlotte, NC

Q: What is Tommy Wilson's NPI number?

The NPI number for Tommy Wilson is 1639674427. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Q: What is Tommy Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tommy Wilson was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 March 26, 2018PECOS Enrolled

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-2165(704) 355-8856 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Mr. Tommy Wilson Dmd NPPES

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

MR. TOMMY WILSON DMD (NPI 1639674427) is an individual general practice provider in Charlotte, North Carolina, licensed in North Carolina (12291870) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639674427

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. TOMMY WILSONCredential: DMD

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812

Mailing Address1000 Blythe BlvdCharlotte, NC 28203-5812 · (704) 355-2165 · Fax (704) 335-8856

Phone(704) 355-2165

Fax(704) 355-8856

Sole ProprietorNo

Enumeration DateMarch 26, 2018

✔ NPI 1639674427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 12291870

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.

1000 BLYTHE BLVD, Charlotte, NC 28203

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of North Carolina, Humana.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)

Mr. Tommy 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 28203 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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