DR. REYNALDO BENNETT WILSON DDS
NPI 1487788212
Dentist - General Practice in Richmond, CA

NPI Status: Active since March 15, 2007

Contact Information

265 16TH ST
RICHMOND, CA
ZIP 94801
Phone: (510) 233-6515

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  • Individual
  • Male
  • Dentist
  • General Practice
  • Accepts Insurance
  • PECOS Enrolled

About REYNALDO WILSON

This page provides the complete NPI Profile along with additional information for Reynaldo Wilson, a provider established in Richmond, California with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1487788212 assigned on March 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 33405 (CA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1487788212
Provider Name
DR. REYNALDO BENNETT WILSON DDS
Gender
Male
Entity Type
Individual
Location Address
265 16TH ST RICHMOND, CA 94801
Location Phone
(510) 233-6515
Mailing Address
1029 SANDHURST DR VALLEJO, CA 94591
Mailing Phone
(707) 554-2645
Is Sole Proprietor?
No
Enumeration Date
03-15-2007
Last Update Date
07-08-2007
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A dentist like Reynaldo Wilson is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
33405
License State
CA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Reynaldo Wilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 94801 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $104.51
  • Minimum New Patient Price $69
  • Maximum New Patient Price $202.35
  • Average New Patient Copayment $26.12
  • Minimum New Patient Copayment $17.25
  • Maximum New Patient Copayment $50.58

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $84.91
  • Minimum Established Patient Price $23.44
  • Maximum Established Patient Price $166.46
  • Average Established Patient Copayment $21.22
  • Minimum Established Patient Copayment $5.86
  • Maximum Established Patient Copayment $41.61

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. REYNALDO BENNETT WILSON DDS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487788212
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241671481622
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 4 + 8 + 1 + 6 + 2 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1487788212 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124143607DR. THEODORE SHIRAI D.D.S.
Individual
Dentist265 16TH ST
RICHMOND, CA 94801
(510) 541-7549
1386761724DR. NAHREEN IMAM D.D.S.
Individual
Dentist265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1093832438DR. PHILIP GREGG MELANDER D.D.S.
Individual
Dentist (General Practice)265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1114453784DR. KEVIN WU YU D.M.D.
Individual
Dentist265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1518275890DR. ELAINE H WANG D.D.S.
Individual
Dentist (General Practice)265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1083248348 CHANYOUNG LEE
Individual
Dentist265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1033677703 SONAL ANAND
Individual
Dentist (General Practice)265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1730257098CHESTER T. LOW, DDS, INC.
Organization
Clinic/Center (Dental)265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1265047294 CALVIN TRAN DMD
Individual
Dentist265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1174298806 BINH NGOC TRAN DDS
Individual
Dentist265 16TH ST
RICHMOND, CA 94801
(510) 233-6515
1750166393DR. ELEISKA YUSEN HERRERA DE SALVATIERRA DDS
Individual
Dentist265 16TH ST
RICHMOND, CA 94801
(510) 233-6515

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487788212, enumerated in the NPI registry as an "individual" on March 15, 2007

The provider is located at 265 16th St Richmond, Ca 94801 and the phone number is (510) 233-6515

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $104.51 with an average copayment of $26.12 for new patient appointments. Established patients should expect a typical charge of $84.91 and an average copayment of 21.22. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on March 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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