NPIMap

Organization Active NPI

Frazelle Lee and Winneberger Associates PLLC

Doing business as Atlantic Dental Group

  • General Practice Dentistry
  • Wilmington, NC
National Provider Identifier
1386319473
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FRAZELLE LEE AND WINNEBERGER ASSOCIATES PLLC
Doing business as
Atlantic Dental Group
Practice address
1301 Physicians Dr
Wilmington, NC 28401-7352
Phone
(910) 762-0958
NPI assigned
Aug 11, 2021
Last updated
Aug 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Dr. Joshua Ford Winneberger, DMDNPI 1720514458
Title
Doctor/General Dentistry/Secretary
Phone
(910) 616-5530

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1301 Physicians Dr
Wilmington, NC 28401-7352

Mailing address

1301 Physicians Dr
Wilmington, NC 28401-7352
Phone (910) 762-0958

Other identifiers 2

IdentifierTypeStateIssuer
8995199MedicaidNC
8992872MedicaidNC

Other names 1

  • Atlantic Dental Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1386319473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017352",
            "telephone_number": "910-762-0958",
            "fax_number": "910-762-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017352",
            "telephone_number": "910-762-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAZELLE LEE AND WINNEBERGER ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "WINNEBERGER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "FORD",
        "authorized_official_title_or_position": "DOCTOR/GENERAL DENTISTRY/SECRETARY",
        "authorized_official_telephone_number": "910-616-5530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995199",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8992872",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.