NPIMap

Organization Active NPI

Ryan, James, Wiles, Patel & Olsen LLP

Doing business as Village Family Dental

  • Dentist
  • Hope Mills, NC
National Provider Identifier
1023122736
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RYAN, JAMES, WILES, PATEL & OLSEN LLP
Doing business as
Village Family Dental
Practice address
5710 Rockfish Rd
Hope Mills, NC 28348-1847
Phone
(910) 424-3623
Fax
(910) 424-3639
NPI assigned
Aug 18, 2006
Last updated
Oct 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christina C Pate
Title
Revenue Cycle Director
Phone
(910) 484-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

5710 Rockfish Rd
Hope Mills, NC 28348-1847

Mailing address

5710 Rockfish Rd
Hope Mills, NC 28348-1847
Phone (910) 424-3623

Other identifiers 1

IdentifierTypeStateIssuer
890216NMedicaidNC

Other names 1

  • Village Family Dental Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150608002836 NC Part B Supplier - Clinic/Group Practice 8628399227 Receives reassigned benefits from 37 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fayetteville, NC

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5710 Rockfish Rd
Hope Mills, NC 28348
Phone (910) 424-3623

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1023122736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 ROCKFISH RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481847",
            "telephone_number": "910-424-3623",
            "fax_number": "910-424-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 ROCKFISH RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481847",
            "telephone_number": "910-424-3623",
            "fax_number": "910-424-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN, JAMES, WILES, PATEL & OLSEN LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "910-484-7070"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890216N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hope Mills, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.