NPIMap

Organization Active NPI

Michael R Defee DMD PHD PLLC

  • Dentist
  • Wilmington, NC
National Provider Identifier
1578936258
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9977 Issued in NC
Legal business name
MICHAEL R DEFEE DMD PHD PLLC
Practice address
4622 Oleander Dr
Wilmington, NC 28403-5149
Phone
(910) 399-1127
NPI assigned
Nov 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Michael R Defee, DMD PHD
Title
Owner
Phone
(843) 882-5165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9977 NC Primary

Addresses

Primary practice location

4622 Oleander Dr
Wilmington, NC 28403-5149

Mailing address

4622 Oleander Dr
Wilmington, NC 28403-5149

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1578936258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035149",
            "telephone_number": "910-399-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R DEFEE DMD PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "DEFEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-882-5165",
        "authorized_official_credential": "DMD PHD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "9977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.