Individual provider Active NPI

Michael L Wing, DDS

  • General Practice Dentistry
  • Huntersville, NC
National Provider Identifier
1467636472
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
09418 Issued in NC
Practice address
8712 Lindholm Dr Ste 200
Huntersville, NC 28078-1888
Phone
(704) 997-8280
Fax
(704) 288-3643
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 09418 NC Primary

Addresses

Primary practice location

8712 Lindholm Dr Ste 200
Huntersville, NC 28078-1888

Mailing address

8712 Lindholm Dr Ste 200
Huntersville, NC 28078-1888
Phone (704) 997-8280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916001373 NC Order and Referring Only - DentistPractitioner - Dentist 7416286588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09418NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael L Wing DDS PA Current Accepting new patients

Locations

8712 Lindholm Dr
Ste 200
Huntersville, NC 28078
Phone (704) 896-5225

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1467636472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 LINDHOLM DR STE 200",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280781888",
            "telephone_number": "704-997-8280",
            "fax_number": "704-288-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 LINDHOLM DR STE 200",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280781888",
            "telephone_number": "704-997-8280",
            "fax_number": "704-288-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WING",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "09418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.