Active NPI
Julie Indicott Waldrep, DMD
- Dentist
- Boone, NC
National Provider Identifier
1225277205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9437
- Practice address
- 450 New Market Blvd Ste 4
Boone, NC 28607-5501 - Phone
- (828) 264-3211
- NPI assigned
- Feb 13, 2009
- Last updated
- Jun 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9437 | NC | Primary |
Addresses
Primary practice location
450 New Market Blvd Ste 4
Boone, NC 28607-5501
Mailing address
450 New Market Blvd Ste 4
Boone, NC 28607-5501
Phone (828) 264-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9437 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waldrep & Waldrep, DMD, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Waldrep Family Dentistry
- General Practice Dentistry
- Boone, NC
- NPI 1821439670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370217600000",
"number": "1225277205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 NEW MARKET BLVD STE 4",
"city": "BOONE",
"state": "NC",
"postal_code": "286075501",
"telephone_number": "828-264-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 NEW MARKET BLVD STE 4",
"city": "BOONE",
"state": "NC",
"postal_code": "286075501",
"telephone_number": "828-264-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDREP",
"first_name": "JULIE",
"middle_name": "INDICOTT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-13",
"last_updated": "2013-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boone, NC
- Andrew Thomas Voglewede, M.D.
- Wake Forest Health Network LLC (Samaritans Purse)
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2496)
- Wal-Mart Stores East, LP (Vision Center 30-2496)
- Waldrep & Waldrep, DMD, PLLC (Waldrep Family Dentistry)
- Wesley Joseph Waldrep, DMD
- Walgreen Co (Rite Aid)
- Walgreen Co (Walgreens #02540)
- Walgreen Co (Rite Aid)
- Bonnie Lucile Walker, DC, L AC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.