NPIMap

Organization Active NPI

Ryan, James, Wiles, Patel & Olsen LLP

  • Dentist
  • Raeford, NC
National Provider Identifier
1497059877
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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
Last updated
Oct 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

NPI 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.

Verify at the official NPI Registry.