Active NPI
Ryan, James, Wiles, Patel & Olsen LLP
- Dentist
- Raeford, NC
National Provider Identifier
1497059877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- RYAN, JAMES, WILES, PATEL & OLSEN LLP
- Practice address
- 104 Southern Ave
Raeford, NC 28376-3218 - Phone
- (910) 875-4008
- Fax
- (910) 904-1200
- NPI assigned
- Dec 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina C Pate
- Title
- Revenue Cycle Director
- Phone
- (910) 484-7070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
104 Southern Ave
Raeford, NC 28376-3218
Mailing address
2028 Litho PL Ste 300
Fayetteville, NC 28304-2538
Phone (910) 485-7070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150608002836 | NC | Part B Supplier - Clinic/Group Practice | 8628399227 |
Receives reassigned benefits from 37 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fayetteville, NC |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760054400000",
"number": "1497059877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 LITHO PL STE 300",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042538",
"telephone_number": "910-485-7070",
"fax_number": "910-485-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 SOUTHERN AVE",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283763218",
"telephone_number": "910-875-4008",
"fax_number": "910-904-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYAN, JAMES, WILES, PATEL & OLSEN LLP",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-29",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A",
"authorized_official_last_name": "PATE",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
"authorized_official_telephone_number": "910-484-7070"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raeford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.