Wendy Dee Willoughby, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5651 Issued in NC

Practice address

192 E Chestnut St Ste B
Asheville, NC 28801-2387

Phone

(828) 255-0936

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 5, 2015 through Oct 5, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Wendy Willoughby DDS

  • Dentist
  • Asheville, NC
  • NPI 1396176335
  NPD (past) Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407887698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 E CHESTNUT ST STE B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012387",
            "telephone_number": "828-255-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 E CHESTNUT ST STE B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012387",
            "telephone_number": "828-255-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "WENDY",
        "middle_name": "DEE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8999381",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Batt Willis, MD
• Darian Willis
• Jeremy S Willis, PHARMD
• Keri Renee Willis, MA, NCC, LCMHC
• Susan Willis, LCAS, CCS
• Willow Place II, Inc
• Willow Place II, Inc
• Willow Wellness and Recovery Center PC
• Zachary Wills, PHARMACIST
• Sherry Wilson Fitzpatrick, M.S., CCC-SLP

• General Practice Dentistry in Asheville, NC
• Providers in Asheville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.