Individual provider Active NPI

Laura L. Wellener, D.D.S.

  • Dentist
  • Pinehurst, NC
National Provider Identifier
1609054246
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8518 Issued in NC
Practice address
305 Page Rd. North
Suite 2
Pinehurst, NC 28374
Phone
(910) 295-1010
Fax
(910) 295-1367
NPI assigned
Feb 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8518 NC Primary

Addresses

Primary practice location

305 Page Rd. North
Suite 2
Pinehurst, NC 28374

Mailing address

PO Box 789
Pinehurst, NC 28370-0789
Phone (910) 295-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150421001771 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8022336171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8518NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura L. Wellener, D.D.S., P.a. Past Accepting new patients
Larry E.Baucom, D.D.S., P.a. Past Accepting new patients

Organizations & group practices 2

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1609054246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283700789",
            "telephone_number": "910-295-1010",
            "fax_number": "910-295-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PAGE RD. NORTH",
            "address_2": "SUITE 2",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-295-1010",
            "fax_number": "910-295-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLENER",
        "first_name": "LAURA",
        "middle_name": "L.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.