Wayne P. Attkisson,DDS, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

3109 Issued in NC

Legal business name

WAYNE P. ATTKISSON,DDS, P.A.

Practice address

402 Sterlingworth St
Windsor, NC 27983-1726

Phone

(252) 794-2053

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wayne Page Attkisson

Title

Dentist

Phone

(252) 794-2053

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Hairr

  • Dentist
  • Windsor, NC
  • NPI 1467822635
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1457535148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 STERLINGWORTH ST",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279831726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 STERLINGWORTH ST",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279831726",
            "telephone_number": "252-794-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE P. ATTKISSON,DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "ATTKISSON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "PAGE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "252-794-2053",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "3109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990288",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amber Dickerson Williams, FNP-C
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• Windsor House One, LLC

• Dentist in Windsor, NC
• Providers in Windsor, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.