NPIMap

Organization Active NPI

Wake Forest Ambulatory Ventures, LLC

  • Ambulatory Surgical Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1316842297
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WAKE FOREST AMBULATORY VENTURES, LLC
Practice address
635 Vine St Ste 1700
Winston Salem, NC 27101-4185
Phone
(336) 390-1350
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WAKE FOREST AMBULATORY VENTURES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Desiree Dunston
Title
Director - Administrator
Phone
(336) 716-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

635 Vine St Ste 1700
Winston Salem, NC 27101-4185

Mailing address

635 Vine St Ste 1700
Winston Salem, NC 27101-4185

National Provider Directory

National Provider Directory
Tax ID family
Wake Forest Ambulatory Ventures LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

635 Vine St
Ste 1700
Winston Salem, NC 27101

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1316842297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 VINE ST STE 1700",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 VINE ST STE 1700",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014185",
            "telephone_number": "336-390-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST AMBULATORY VENTURES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAKE FOREST AMBULATORY VENTURES, LLC",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "DUNSTON",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "DIRECTOR - ADMINISTRATOR",
        "authorized_official_telephone_number": "336-716-3335"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.