DR. KONITA LEE WILKS D.D.S.
NPI 1992119598
Dentist - Pediatric Dentistry in Garden Grove, CA

Q: What is Konita Wilks's NPI number?

The NPI number for Konita Wilks is 1992119598. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Q: What is Konita Wilks'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 Konita Wilks was last updated on November 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 12, 2014PECOS Enrolled

10602 CHAPMAN AVE, GARDEN GROVE, CA 92840(714) 537-0700 Get Directions Write a Review

NPPES record last updated: November 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Konita Lee Wilks D.d.s. NPPES

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

DR. KONITA LEE WILKS D.D.S. (NPI 1992119598) is an individual pediatric dentistry provider in Garden Grove, California, licensed in California (63433) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992119598

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. KONITA LEE WILKSCredential: D.D.S.

Location Address10602 CHAPMAN AVEGarden Grove, CA 92840-3146

Mailing Address6021 Kenwick CirHuntington Beach, CA 92648-1036 · (714) 642-5200

Phone(714) 537-0700

Sole ProprietorYes

Enumeration DateJune 12, 2014

Last NPPES UpdateNovember 8, 2015

✔ NPI 1992119598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CA · 63433

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.

10602 CHAPMAN AVE, Garden Grove, CA 92840

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Konita Lee Wilks D.d.s. 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 92840 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 19

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

MS. DIANE ELIZABETH LIMBO RN, CPNP

Registered Nurse