Organization Active NPI

Dr. Wendy Willoughby DDS

  • Dentist
  • Asheville, NC
National Provider Identifier
1396176335
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5651 Issued in NC
Legal business name
DR. WENDY WILLOUGHBY DDS
Practice address
192 E Chestnut St
Suite B
Asheville, NC 28801-2350
Phone
(828) 255-0936
Fax
(828) 252-9434
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Dr. Wendy Dee Willoughby, DDSNPI 1407887698
Title
Dentist / Owner
Phone
(828) 255-0936

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5651 NC Primary

Addresses

Primary practice location

192 E Chestnut St
Suite B
Asheville, NC 28801-2350

Mailing address

192 E Chestnut St
Suite B
Asheville, NC 28801-2350
Phone (828) 255-0936

Other identifiers 1

IdentifierTypeStateIssuer
8999381MedicaidNC

National Provider Directory

National Provider Directory

Locations

192 E Chestnut St
Ste B
Asheville, NC 28801
Phone (828) 255-0936

Practitioners & affiliated clinicians

Practitioners 2

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": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1396176335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 E CHESTNUT ST",
            "address_2": "SUITE B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012350",
            "telephone_number": "828-255-0936",
            "fax_number": "828-252-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 E CHESTNUT ST",
            "address_2": "SUITE B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012350",
            "telephone_number": "828-255-0936",
            "fax_number": "828-252-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WENDY WILLOUGHBY DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "WILLOUGHBY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "828-255-0936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "5651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8999381",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.