DR. ROBERT G WILSON DMD
NPI 1649330291
Dentist - General Practice in El Paso, TX

Active since December 12, 2006Opted out of Medicare · through Dec 13, 2026
12801 EDGEMERE BLVD # B, SUITE 112, EL PASO, TX 79938(915) 493-6310 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert G Wilson Dmd NPPES

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

DR. ROBERT G WILSON DMD (NPI 1649330291) is an individual general practice provider in El Paso, Texas, licensed in Texas (24420) and active in the NPI registry since December 2006. He has opted out of Medicare through December 13, 2026.

NPPES Registry Identity

NPI1649330291
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROBERT G WILSONCredential: DMD
Location Address12801 EDGEMERE BLVD # B, SUITE 112El Paso, TX 79938-9500
Mailing Address735 Coeur CircleEl Paso, TX 79922-2132
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateOctober 30, 2014
NPI 1649330291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 24420
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.
12801 EDGEMERE BLVD # B, El Paso, TX 79938

Other Identifiers 1

Medicaid200271909TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Robert G Wilson Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 13, 2022 through December 13, 2026.

Opt-Out Effective DateDecember 13, 2022
Opt-Out In Effect ThroughDecember 13, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Dentist
12801 EDGEMERE BLVD # B, STE 112
EL PASO, TX 79938
Dentist (General Practice)
12801 EDGEMERE BLVD # B, STE 112
EL PASO, TX 79938
Dentist (General Practice)
12801 EDGEMERE BLVD # B, STE 112
EL PASO, TX 79938

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 Robert Wilson's NPI number?

The NPI number for Robert Wilson is 1649330291. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Robert Wilson located?

Robert Wilson practices at 12801 Edgemere Blvd # B Suite 112, El Paso, TX 79938. The listed phone number is (915) 493-6310.

What is Robert Wilson's specialty?

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

Is Robert Wilson enrolled in Medicare?

No. Robert Wilson has opted out of Medicare through December 13, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Robert Wilson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 17 other insurers list Robert 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 Robert Wilson was last updated on October 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.