NPIMap

Organization Active NPI

Ryan, James, Wiles, Patel & Olsen LLP

Doing business as Village Family Dental

  • Dentist
  • Laurinburg, NC
National Provider Identifier
1053795336
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
109 McAlpine LN
Laurinburg, NC 28352-4637
Phone
(910) 276-6640
Fax
(910) 485-1151
NPI assigned
Jul 16, 2015
Last updated
Oct 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
RYAN, JAMES, WILES, PATEL & OLSEN LLPAs reported in NPPES

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

109 McAlpine LN
Laurinburg, NC 28352-4637

Mailing address

2028 Litho PL Ste 300
Fayetteville, NC 28304-2538
Phone (910) 276-6640

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
Part of
Ryan James Wiles Patel Olsen LLP

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": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1053795336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 LITHO PL STE 300",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042538",
            "telephone_number": "910-276-6640",
            "fax_number": "910-276-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MCALPINE LN",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524637",
            "telephone_number": "910-276-6640",
            "fax_number": "910-485-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN, JAMES, WILES, PATEL & OLSEN LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RYAN, JAMES, WILES, PATEL & OLSEN LLP",
        "enumeration_date": "2015-07-16",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Village Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurinburg, 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.