Active NPI
Woodson Benjamin Bolinger, DDS
- General Practice Dentistry
- Weaverville, NC
National Provider Identifier
1184749541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5265
- Practice address
- 101 North Main Street
Weaverville, NC 28787 - Phone
- (828) 645-5811
- Fax
- (828) 658-2196
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5265 | NC | Primary |
Addresses
Primary practice location
101 North Main Street
Weaverville, NC 28787
Mailing address
PO Box 505
101 North Main Street
Weaverville, NC 28787
Phone (828) 645-5811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8990854 | Medicaid | NC |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160531001664 | NC | Order and Referring Only - Dentist | 9436449634 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5265 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184749541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 505",
"address_2": "101 NORTH MAIN STREET",
"city": "WEAVERVILLE",
"state": "NC",
"postal_code": "28787",
"telephone_number": "828-645-5811",
"fax_number": "828-658-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NORTH MAIN STREET",
"city": "WEAVERVILLE",
"state": "NC",
"postal_code": "28787",
"telephone_number": "828-645-5811",
"fax_number": "828-658-2196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLINGER",
"first_name": "WOODSON",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "5265",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8990854",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weaverville, NC
- Biltmore Psychological Services
- Brianna Sherrill Blevins
- Josephine Juanata Bloomfield, LCMHCA
- Bochicchio Chiropractic Center P a
- Sheila A Bochicchio, D.C.
- Patrice A Boudreaux, LCAS-A
- Emily Elizabeth Bouhall, MSN, RN, FNP-C
- Melissa Nicole Bratter, LCMHC
- Jody Mark Brown, P.T.
- Kallie Danielle Brown, LCMHCA
Sources for this page
- 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.