Active NPI
Terese Marie Walters, DMD
- General Practice Dentistry
- Apex, NC
National Provider Identifier
1629051057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8649
- Practice address
- 1001 W Williams St Ste 105
Apex, NC 27502-3978 - Phone
- (919) 362-7878
- NPI assigned
- Nov 21, 2005
- Last updated
- Mar 17, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8649 | NC | Primary |
Addresses
Primary practice location
1001 W Williams St Ste 105
Apex, NC 27502-3978
Mailing address
8212 Muirfield Dr
Fuquay Varina, NC 27526-9449
Phone (843) 364-7350
Other practice location 1
2029 Valleygate Dr Ste 201
Fayetteville, NC 28304-3772
Phone (910) 485-8884
Other names 1
- Terese Marie Walters
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8649 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan, James, Wiles, Patel & Olsen LLP | Past | Accepting new patients | |
| Landenberger and Douglass, DDS,PA | General Practice | Past | Accepting new patients |
| Keene, DDS and Walters, DMD, PLLC | Past | Accepting new patients | |
| Ryan, James, Wiles, Patel & Olsen LLP | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Practice Dentistry
- Apex, NC
- NPI 1669659934
-
dba Southeastern Dental Specialists
- Dentist
- Fayetteville, NC
- NPI 1346473279
-
dba Village Family Dental
- Dentist
- Fayetteville, NC
- NPI 1750495693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1629051057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8212 MUIRFIELD DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275269449",
"telephone_number": "843-364-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W WILLIAMS ST STE 105",
"city": "APEX",
"state": "NC",
"postal_code": "275023978",
"telephone_number": "919-362-7878"
}
],
"practiceLocations": [
{
"address_1": "2029 Valleygate Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043772",
"country_code": "US",
"telephone_number": "910-485-8884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTERS",
"first_name": "TERESE",
"middle_name": "MARIE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "8649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERESE",
"last_name": "WALTERS",
"middle_name": "MARIE",
"credential": "D.M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.