Organization Active NPI

Wesley B Smith,D.D.S.,P.a.

  • General Practice Dentistry
  • Cary, NC
National Provider Identifier
1295748549
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6471 Issued in NC
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

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. Wesley Bernard Smith, DDS
Title
Owner
Phone
(919) 467-9313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
97964OtherNCBCBS
NC6471OtherNCLICENSE

National Provider Directory

National Provider Directory
Tax ID family
Wesley B Smith DDS PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.