Active NPI
Wesley B Smith,D.D.S.,P.a.
- General Practice Dentistry
- Cary, NC
National Provider Identifier
1295748549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6471
- Legal business name
- WESLEY B SMITH,D.D.S.,P.A.
- Practice address
- 130 Preston Executive Dr
Suite 203
Cary, NC 27513-8433 - Phone
- (919) 467-9313
- Fax
- (919) 467-5015
- NPI assigned
- Aug 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wesley Bernard Smith, DDS
- Title
- Owner
- Phone
- (919) 467-9313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6471 | NC | Primary |
Addresses
Primary practice location
130 Preston Executive Dr
Suite 203
Cary, NC 27513-8433
Mailing address
130 Preston Executive Dr
Suite 203
Cary, NC 27513-8433
Phone (919) 467-9313
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97964 | Other | NC | BCBS |
| NC6471 | Other | NC | LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Wesley B Smith DDS PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Cary, NC
- NPI 1346722550
-
- Point of Service
- Cary, NC
- NPI 1922271543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295748549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 PRESTON EXECUTIVE DR",
"address_2": "SUITE 203",
"city": "CARY",
"state": "NC",
"postal_code": "275138433",
"telephone_number": "919-467-9313",
"fax_number": "919-467-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 PRESTON EXECUTIVE DR",
"address_2": "SUITE 203",
"city": "CARY",
"state": "NC",
"postal_code": "275138433",
"telephone_number": "919-467-9313",
"fax_number": "919-467-5015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESLEY B SMITH,D.D.S.,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "WESLEY",
"authorized_official_middle_name": "BERNARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-467-9313",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "97964",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "NC6471",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cary, 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.