Active NPI
Millard Winston Wester III, DDS
- Dentist
- Henderson, NC
National Provider Identifier
1285648774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4823
- Practice address
- 511 Ruin Creek Rd
Suite 204
Henderson, NC 27536-5919 - Phone
- (252) 492-1115
- Fax
- (252) 492-8682
- NPI assigned
- Jul 28, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4823 | NC | Primary |
Addresses
Primary practice location
511 Ruin Creek Rd
Suite 204
Henderson, NC 27536-5919
Mailing address
511 Ruin Creek Rd
Suite 204
Henderson, NC 27536-5919
Phone (252) 492-1115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8999147 | 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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150617002988 | NC | Order and Referring Only - Other (Non-Physician) | 6709197734 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4823 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285648774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 RUIN CREEK RD",
"address_2": "SUITE 204",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275365919",
"telephone_number": "252-492-1115",
"fax_number": "252-492-8682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 RUIN CREEK RD",
"address_2": "SUITE 204",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275365919",
"telephone_number": "252-492-1115",
"fax_number": "252-492-8682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTER",
"first_name": "MILLARD",
"middle_name": "WINSTON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "4823",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8999147",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NC
- Warren Vance Community Health Center Inc
- Warren-Vance Community Health Center
- Warren-Vance Community Health Center, Inc.
- Janielle Watkins
- Mary Edith Watkins, MA, LPC, CCMHC, NCC
- Charles Craig White, RPH
- Jesse Stephen White, PTA
- Kristen L White, PA-C
- Turkesa Whittley
- Shakiera Monique Whyte Henry, FNP-C
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.