HAILEE BRIELLE WILSON DMD
NPI 1750963062
Dentist in Las Vegas, NV

Q: What is Hailee Wilson's NPI number?

The NPI number for Hailee Wilson is 1750963062. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Q: What is Hailee Wilson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Hailee Wilson was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 April 26, 2021PECOS Enrolled

2212 S EASTERN AVE, LAS VEGAS, NV 89104(702) 735-9334(702) 735-9335 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2022, Apr 26, 2021 (2 updates tracked since 2021).

On this page

About Hailee Brielle Wilson Dmd NPPES

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

HAILEE BRIELLE WILSON DMD (NPI 1750963062) is an individual dentist in Las Vegas, Nevada, licensed in Nevada (7918) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750963062

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameHAILEE BRIELLE WILSONCredential: DMD

Location Address2212 S EASTERN AVELas Vegas, NV 89104-4124

Mailing Address3325 Research WayCarson City, NV 89706-7913 · (702) 220-9902 · Fax (702) 323-5108

Phone(702) 735-9334

Fax(702) 735-9335

Sole ProprietorNo

Enumeration DateApril 26, 2021

Last NPPES UpdateFebruary 24, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2026

✔ NPI 1750963062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in NV · 7918✔ Licensed in FL · DN26810

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2212 S EASTERN AVE, Las Vegas, NV 89104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Montana 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)

Hailee Brielle 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 89104 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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.

DR. VIVEK GANDOTRA DDS

Dentist