Individual provider Active NPI

William Clyde Windley III, DDS, MS

  • Endodontics
  • Cary, NC
National Provider Identifier
1326108135
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7340 Issued in NC
Practice address
140 Preston Executive Dr
Suite 201
Cary, NC 27513-8488
Phone
(919) 468-1435
Fax
(919) 468-7250
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 7340 NC Primary

Addresses

Primary practice location

140 Preston Executive Dr
Suite 201
Cary, NC 27513-8488

Mailing address

140 Preston Executive Dr
Suite 201
Cary, NC 27513-8488
Phone (919) 468-1435

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170125000111 NC Order and Referring Only - DentistPractitioner - Dentist 7911289061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7340NCMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326108135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PRESTON EXECUTIVE DR",
            "address_2": "SUITE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138488",
            "telephone_number": "919-468-1435",
            "fax_number": "919-468-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PRESTON EXECUTIVE DR",
            "address_2": "SUITE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138488",
            "telephone_number": "919-468-1435",
            "fax_number": "919-468-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDLEY",
        "first_name": "WILLIAM",
        "middle_name": "CLYDE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "7340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.