Individual provider Active NPI

Robert Lewis Wheless, DDS

  • General Practice Dentistry
  • Reidsville, NC
National Provider Identifier
1275561987
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4698 Issued in NC
Practice address
1400 Front St
Reidsville, NC 27320-6000
Phone
(336) 349-8297
Fax
(336) 349-8338
NPI assigned
Jun 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4698 NC Primary

Addresses

Primary practice location

1400 Front St
Reidsville, NC 27320-6000

Mailing address

1400 Front St
Reidsville, NC 27320-6000
Phone (336) 349-8297

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150331002398 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5395062335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4698NCMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275561987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FRONT ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273206000",
            "telephone_number": "336-349-8297",
            "fax_number": "336-349-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FRONT ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273206000",
            "telephone_number": "336-349-8297",
            "fax_number": "336-349-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELESS",
        "first_name": "ROBERT",
        "middle_name": "LEWIS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.