NPIMap

Individual provider Active NPI

Nancy Adalyn Wilson Westmark, DMD, MPH

  • Dentist
  • Durham, NC
National Provider Identifier
1184153991
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0239 Issued in NC
Practice address
40 Duke Medicine Circle
Clinic 1F
Durham, NC 27710
Phone
(919) 660-1263
Fax
(919) 684-5188
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1858243 MA
Dentist 122300000X 9662 SC
Dentist 122300000X 0239 NC Primary

Addresses

Primary practice location

40 Duke Medicine Circle
Clinic 1F
Durham, NC 27710

Mailing address

PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200

Other names 1

  • Dr. Nancy Adalyn Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201028002310 SC Practitioner - Dentist 6002186145 Reassigns benefits to 1 organization
I20220310000660 NC Practitioner - Dentist 6002186145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

3643 N Roxboro Rd
Durham, NC 27704-2702
Phone (919) 470-8490

3643 N Roxboro St
Durham, NC 27704-2702
Phone (919) 470-5356

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9662SCMDClinical Social Worker
DN1858243MAMDDentist
0239NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. General Practice CurrentSince Feb 1, 2022 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Oct 15, 2020 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Oct 15, 2020 Accepting new patients
Duke University Health System, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Duke University Health System, Inc. Current Accepting new patients

Locations

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

40 Duke Medicine Cir
#1F
Durham, NC 27710
Phone (919) 660-1263

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

173 Ashley Ave
#124C
Charleston, SC 29425

173 Ashley Ave
#124
Charleston, SC 29425
Phone (843) 792-2103

Interoperability endpoints

  • Direct secure messaging: nwilsonwestmark511107@direct.medicine.duke.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1184153991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DUKE MEDICINE CIRCLE",
            "address_2": "CLINIC 1F",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27710",
            "telephone_number": "919-660-1263",
            "fax_number": "919-684-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON WESTMARK",
        "first_name": "NANCY",
        "middle_name": "ADALYN",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858243",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9662",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "0239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "WILSON",
            "middle_name": "ADALYN",
            "prefix": "DR.",
            "credential": "DMD, MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.