Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144291477 Individual Practitioner Female Practitioner

Dr. Kathi Ann Wilson , DDS

Dentist • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Dr. Kathi Wilson, DDS is a certified Dentist practicing in Grand Rapids, MI. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Wilson delivers high-quality medical care to the local community at 4820 CASCADE RD SE.

Dr. Wilson does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include x-ray of lower jaws, upper jaws and teeth, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4820 Cascade Rd Se

Grand Rapids, MI 495463785

Telephone 6164541482
Fax 8555364347
Associated Practice Facility / Clinic
🏢 Wilson Dental Care Gr Pc Facility NPI 1598007379

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Grand Rapids, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs -4.0 yrs vs City Avg
City Avg: 30.0 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
125 Specialists

Practicing in Grand Rapids, MI (3647 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (26 Years) 26 Yrs
Grand Rapids Specialty Average (30.0 Years) 30.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
70355 X-ray of lower jaws, upper jaws and teeth
44 44 $183.00 $16.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
39 39 $184.00 $100.56
99213 Established patient office or other outpatient visit, typically 15 minutes
28 25 $175.00 $80.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
19 19 $249.00 $150.68

Medical Specialties & State Licenses

CMS Verified: 2025-03-11
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 17948

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Sarah Conklin

Licensed Practical Nurse

NPI 1477146983

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 11, 2025

Registered at 4820 CASCADE RD SE, GRAND RAPIDS, MI 495463785 (Tel: 6164541482)

📍
Updated Business Mailing Address December 02, 2019

Registered at 4820 CASCADE RD SE, GRAND RAPIDS, MI 495463785 (Tel: 6164541482)

NPI Profile Active March 30, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2011

Registered at 1625 DIAMOND AVE NE, GRAND RAPIDS, MI 495054887 (Tel: 6164541482)

📍
Updated Business Mailing Address March 30, 2011

Registered at 1625 DIAMOND AVE NE, GRAND RAPIDS, MI 495054887 (Tel: 6164541482)

👤
Provider Name / Credentials Updated March 30, 2011

Recorded as KATHI WILSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2011

Dentist (License #17948 in MI)

🟢
Initial NPI Registration & Enumeration January 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144291477
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2006
Last Update: March 11, 2025
Sole Proprietor: No

Mailing Address

4820 Cascade Rd Se

Grand Rapids, MI 495463785

Phone: 6164541482

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.