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Dr. Mitchell R. Wilkinson , DDS

Dentist - Prosthodontics β€’ Dulce, NM

Active NPI 1063478618 Individual Practitioner Male Practitioner
Practice location in NPPES

Po Box 187
Dulce, NM 875280187

Call 5757593291 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

Po Box 187

Dulce, NM 875280187

Telephone 5757593291
Fax 5757593532
Organization at the Same NPPES Address or Phone
Jicarilla Ihs Pharmacy Facility NPI 1124220900

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dulce and New Mexico

1 active clinicians are listed under Dentist - Prosthodontics with a practice address in Dulce, NM (16 in New Mexico).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Dentist - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

License # reported to NPPES TX 15881

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Mexico State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0900169-03 (TX)
Medicaid ID
0900169-04 (TX)
Other Identifier Blue Shield
89D015 (TX)
Other Identifier Rr/medicare
P00214022 (TX)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Dr. Jacob Alexander , DO, MPH

Preventive Medicine - Public Health & General Preventive Medicine

NPI 1780003442

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Dr. Sirpa Autio , MD

Family Medicine

NPI 1134158405

Doctor of Medicine (M.D.)

NPI 1801186341

Doctor of Medicine (M.D.)

Dr. Daniel Haire , DO

Family Medicine

NPI 1750814323

Doctor of Osteopathic Medicine (D.O.)

NPI 1356797716

Doctor of Dental Medicine

Lloyd Merino , PA-C

Physician Assistant

NPI 1841700127

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active October 18, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 18, 2017

Registered at PO BOX 187, DULCE, NM 875280187 (Tel: 5757593291)

πŸ“
Updated Business Mailing Address October 18, 2017

Registered at PO BOX 187, DULCE, NM 875280187 (Tel: 5757593291)

πŸ‘€
Provider Name / Credentials Updated October 18, 2017

Recorded as MITCHELL WILKINSON, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2017

Dentist (license number reported to NPPES: TX 15881)

βœ…
NPI Profile Active November 09, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 09, 2009

Registered at 3245 HOSPITAL DR, JUNEAU, AK 998017809 (Tel: 9074634000)

πŸ“
Business Mailing Address (Initial Record) November 09, 2009

Registered at 3245 HOSPITAL DR, JUNEAU, AK 998017809 (Tel: 9074634000)

πŸ‘€
Provider Name / Credentials (Initial Record) November 09, 2009

Recorded as MITCHELL WILKINSON, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2009

Dentist (license number reported to NPPES: TX 15881)

🟒
Initial NPI Registration & Enumeration April 24, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063478618
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2006
Last Update: October 18, 2017
Sole Proprietor: No

Mailing Address

Po Box 187

Dulce, NM 875280187

Phone: 5757593291

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.