Active NPI
Joseph Riley Patteson
- Dentist
- Greensboro, NC
National Provider Identifier
1609445741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12305
- Practice address
- 200 E Wendover Ave Ste a
Greensboro, NC 27401-1227 - Phone
- (336) 275-4747
- NPI assigned
- Jun 23, 2021
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12305 | NC | Primary |
Addresses
Primary practice location
200 E Wendover Ave Ste a
Greensboro, NC 27401-1227
Mailing address
4711 Groometown Rd
Greensboro, NC 27407-9605
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erin Rake, DDS, P.C. | Dentist | Current | Accepting new patients |
| Mango & Patteson PLLC | Current | Accepting new patients |
Locations
8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112
201 McCullough Dr
Ste 180
Charlotte, NC 28262
Phone (704) 228-8495
200 E Wendover Ave
Ste A
Greensboro, NC 27401
Phone (336) 275-4747
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1609445741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4711 GROOMETOWN RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274079605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E WENDOVER AVE STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011227",
"telephone_number": "336-275-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTESON",
"first_name": "JOSEPH",
"middle_name": "RILEY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "12305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.