NPIMap

Organization Active NPI

Shane Wingler DDS PLLC

  • Dental Clinic/Center
  • Lexington, NC
National Provider Identifier
1457055246
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SHANE WINGLER DDS PLLC
Practice address
1 Weaver Dr Ste 1
Lexington, NC 27292-4774
Phone
(336) 248-5057
Fax
(336) 248-5355
NPI assigned
Mar 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Kenneth Shane Wingler, DDSNPI 1033600945
Title
Owner
Phone
(336) 248-5057

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1 Weaver Dr Ste 1
Lexington, NC 27292-4774

Mailing address

1 Weaver Dr Ste 1
Lexington, NC 27292-4774
Phone (336) 248-5057

Other names 1

  • CAROLINA PINES DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1457055246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEAVER DR STE 1",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272924774",
            "telephone_number": "336-248-5057",
            "fax_number": "336-248-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEAVER DR STE 1",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272924774",
            "telephone_number": "336-248-5057",
            "fax_number": "336-248-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE WINGLER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "WINGLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-248-5057",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLINA PINES DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.