Active NPI
Heber Wilkinson Windley III, DDS, MS, PA
- Periodontics
- Zebulon, NC
National Provider Identifier
1609046697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 5971
- Practice address
- 315 Hospital Rd
Zebulon, NC 27597-2542 - Phone
- (919) 269-0300
- NPI assigned
- Mar 5, 2008
- Last updated
- Mar 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 5971 | NC | Primary |
Addresses
Primary practice location
315 Hospital Rd
Zebulon, NC 27597-2542
Mailing address
315 Hospital Rd
Zebulon, NC 27597-2542
Phone (919) 269-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5971 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heber W. Windley III, D.D.S.,M.S.,P.a. | Periodontics | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Periodontics
- Zebulon, NC
- NPI 1578780169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1609046697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 HOSPITAL RD",
"city": "ZEBULON",
"state": "NC",
"postal_code": "275972542",
"telephone_number": "919-269-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 HOSPITAL RD",
"city": "ZEBULON",
"state": "NC",
"postal_code": "275972542",
"telephone_number": "919-269-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDLEY",
"first_name": "HEBER",
"middle_name": "WILKINSON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS, MS, PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-05",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NC",
"license": "5971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zebulon, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.