Tesha M Whaley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8042 Issued in NC

Practice address

9924 US Highway 311
Archdale, NC 27263-8826

Phone

(336) 434-3186

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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.

• Dr. Keith T. Macdonald

  • General Practice Dentistry
  • Archdale, NC
  • NPI 1316116205

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043320567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9924 US HIGHWAY 311",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272638826",
            "telephone_number": "336-434-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9924 US HIGHWAY 311",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272638826",
            "telephone_number": "336-434-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "TESHA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Duncan Wall, FNP-C
• Melissa Cecil Watson, FNP
• Mathew Ryan Weist, PHARMD
• Cynthia B Wessinger, LCSW
• Westwood Healthcare LLC
• John Conrad Withrow, FNP-BC
• Bobby D Witten, M.D.

• All providers in Archdale, NC
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.