Organization Active NPI

Herbert S Wilmer DDS PA

  • Dental Clinic/Center
  • Denver, NC
National Provider Identifier
1144746728
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5064 Issued in NC
Legal business name
HERBERT S WILMER DDS PA
Practice address
3718 N NC 16 Business Hwy
Denver, NC 28037-8179
Phone
(704) 483-5501
Fax
(704) 483-5501
NPI assigned
Aug 16, 2017
Last updated
Aug 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Authorized official

Name
Dr. Jonathan Austin, DMD
Title
Partner
Phone
(704) 483-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5064 NC Primary

Addresses

Primary practice location

3718 N NC 16 Business Hwy
Denver, NC 28037-8179

Mailing address

PO Box 154
Denver, NC 28037-0154
Phone (704) 483-5501

Other identifiers 2

IdentifierTypeStateIssuer
1508217597OtherNCNPPES
1720145360OtherNCNPPES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1144746728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280370154",
            "telephone_number": "704-483-5501",
            "fax_number": "704-483-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 N NC 16 BUSINESS HWY",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378179",
            "telephone_number": "704-483-5501",
            "fax_number": "704-483-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT S WILMER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "704-483-5501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "5064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1508217597",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1720145360",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.