Kenneth Shane Wingler, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11019 Issued in NC

Practice address

1690 River St
Wilkesboro, NC 28697-7630

Phone

(336) 838-9400

NPI assigned

May 25, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shane Wingler DDS PLLC

  • Dental Clinic/Center
  • Lexington, NC
  • NPI 1457055246
  NPD Authorized official
• Jonathan Liner DDS

  • Dentist
  • Wilkesboro, NC
  • NPI 1255152872
  NPD (past)
• Liner, Ward & Shobe DDS, PA

  • Dentist
  • Wilkesboro, NC
  • NPI 1053442210
  NPD (past)

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1033600945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 GLADYS FORK RD",
            "city": "FERGUSON",
            "state": "NC",
            "postal_code": "286249137",
            "telephone_number": "336-467-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 RIVER ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286977630",
            "telephone_number": "336-838-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGLER",
        "first_name": "KENNETH",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilkes Surgical Associates Inc PA
• Wilkesboro Clinical Lab LLC
• Wilkesboro Livig Center LLC
• Holly Williams, FNP-C
• Luke Tyler John Wilson, DMD
• Wood Counseling Services

• General Practice Dentistry in Wilkesboro, NC
• Providers in Wilkesboro, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.