KELLY JAY WILSON DDS
NPI 1942338819
Dentist - General Practice in Rocklin, CA
About Kelly Jay Wilson Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY JAY WILSON DDS (NPI 1942338819) is an individual general practice provider in Rocklin, California, licensed in California (52954) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Kelly Jay Wilson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95765 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKLIN, CA 95765
ROCKLIN, CA 95765
ROCKLIN, CA 95765
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 Kelly Wilson's NPI number?
The NPI number for Kelly Wilson is 1942338819. It was assigned to this individual provider in the NPPES registry on March 1, 2007.
Where is Kelly Wilson located?
Kelly Wilson practices at 5800 Stanford Ranch Rd Bldg #900, Rocklin, CA 95765. The listed phone number is (916) 663-5555.
What is Kelly Wilson's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kelly Wilson enrolled in Medicare?
Yes. Kelly Wilson is registered in the Medicare PECOS enrollment system.
What insurance does Kelly Wilson accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Kelly 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 Kelly Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Kelly Jay Wilson, DDS · NPI 1942338819
General Practice provider in Rocklin, California. Individual provider, active in the CMS NPPES registry since March 1, 2007.
## Identity
- **NPI:** 1942338819 (Entity type: Individual)
- **Enumerated:** March 1, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 52954 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5800 STANFORD RANCH RD, BLDG #900, Rocklin, CA 95765-4385
- **Phone:** (916) 663-5555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1942338819) · Data from the CMS NPPES public registry.