NPIMap

Organization Active NPI

Dimock Weinberg & Cherry DDS PLLC

  • Pediatric Dentistry
  • Wilmington, NC
National Provider Identifier
1073532248
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DIMOCK WEINBERG & CHERRY DDS PLLC
Practice address
3505 Converse Dr
Suite 175
Wilmington, NC 28403-6131
Phone
(910) 794-2266
Fax
(910) 794-6899
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Donna Terwilliger
Title
Financial Coordinator
Phone
(910) 794-2266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3505 Converse Dr
Suite 175
Wilmington, NC 28403-6131

Mailing address

3505 Converse Dr
Suite 175
Wilmington, NC 28403-6131
Phone (910) 794-2266

Other practice location 1

1165 E. Cutlar Crossing
Suite 110
Leland, NC 28451
Phone (910) 794-2266

Other identifiers 2

IdentifierTypeStateIssuer
015ACOtherNCBLUE CROSS GROUP NUMBER
89015ACMedicaidNC

Other names 1

  • Dimock and Weinberg D.D.S., PA Doing business as

National Provider Directory

National Provider Directory

Locations

3505 Converse Rd
Ste 175
Wilmington, NC 28403
Phone (910) 794-2266

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1073532248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 CONVERSE DR",
            "address_2": "SUITE 175",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036131",
            "telephone_number": "910-794-2266",
            "fax_number": "910-794-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 CONVERSE DR",
            "address_2": "SUITE 175",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036131",
            "telephone_number": "910-794-2266",
            "fax_number": "910-794-6899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1165 E. Cutlar Crossing",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "28451",
            "country_code": "US",
            "telephone_number": "910-794-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIMOCK WEINBERG & CHERRY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "TERWILLIGER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "910-794-2266"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "015AC",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015AC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dimock and Weinberg D.D.S., PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dimock and Weinberg D.D.S., PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.