Organization Active NPI

Wirick & Associates, DDS, PA of Raleigh

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1366840845
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6781 Issued in NC
Legal business name
WIRICK & ASSOCIATES, DDS, PA OF RALEIGH
Practice address
2245 N Hills Dr
Raleigh, NC 27612-3935
Phone
(919) 787-3783
NPI assigned
Dec 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Matthew S Wirick, DDS
Title
President
Phone
(919) 787-3783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6781 NC Primary

Addresses

Primary practice location

2245 N Hills Dr
Raleigh, NC 27612-3935

Mailing address

2245 N Hills Dr
Raleigh, NC 27612-3935
Phone (919) 787-3783

Other names 1

  • Crabtree Valley Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2245 N Hills Dr
Raleigh, NC 27612
Phone (919) 783-8887

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": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1366840845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 N HILLS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123935",
            "telephone_number": "919-787-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 N HILLS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123935",
            "telephone_number": "919-787-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIRICK & ASSOCIATES, DDS, PA OF RALEIGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "WIRICK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-787-3783",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crabtree Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.