Individual provider Active NPI

Heber Wilkinson Windley III, DDS, MS, PA

  • Periodontics
  • Zebulon, NC
National Provider Identifier
1609046697
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
5971 Issued in NC
Practice address
315 Hospital Rd
Zebulon, NC 27597-2542
Phone
(919) 269-0300
NPI assigned
Mar 5, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5971NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.