Organization Active NPI

Walter J. Wulf, DDS, P.a.

  • Dentist
  • Wilmington, NC
National Provider Identifier
1184762049
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6107 Issued in NC
Legal business name
WALTER J. WULF, DDS, P.A.
Practice address
2253 Carolina Beach Rd
Wilmington, NC 28401-7237
Phone
(910) 343-0830
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Walter J. Wulf, DDSNPI 1831293935
Title
Owner
Phone
(910) 343-0830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6107 NC Primary

Addresses

Primary practice location

2253 Carolina Beach Rd
Wilmington, NC 28401-7237

Mailing address

2253 Carolina Beach Rd
Wilmington, NC 28401-7237
Phone (910) 343-0830

National Provider Directory

National Provider Directory

Locations

2253 Carolina Beach Rd
Wilmington, NC 28401
Phone (910) 343-0830

Practitioners & affiliated clinicians

Practitioners 3

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184762049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 CAROLINA BEACH RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017237",
            "telephone_number": "910-343-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 CAROLINA BEACH RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017237",
            "telephone_number": "910-343-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER J. WULF, DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WULF",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-343-0830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.