Organization Active NPI

Ernest E. Wooden, III, D.D.S., P.a.

  • Dental Clinic/Center
  • Durham, NC
National Provider Identifier
1316018567
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3629 Issued in NC
Legal business name
ERNEST E. WOODEN, III, D.D.S., P.A.
Practice address
3925 N Duke St Ste 121
Durham, NC 27704-1780
Phone
(919) 471-1036
Fax
(919) 479-1630
NPI assigned
Nov 10, 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. Ernest E. Wooden III, DDSNPI 1568533719
Title
President
Phone
(919) 471-1036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3629 NC Primary

Addresses

Primary practice location

3925 N Duke St Ste 121
Durham, NC 27704-1780

Mailing address

3925 N Duke St Ste 121
Durham, NC 27704-1780
Phone (919) 471-1036

National Provider Directory

National Provider Directory

Locations

3925 N Duke St
Ste 121
Durham, NC 27704
Phone (919) 471-1036

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316018567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 N DUKE ST STE 121",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041780",
            "telephone_number": "919-471-1036",
            "fax_number": "919-479-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 N DUKE ST STE 121",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041780",
            "telephone_number": "919-471-1036",
            "fax_number": "919-479-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST E. WOODEN, III, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODEN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-471-1036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "3629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, 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.