Individual provider Active NPI

Terese Marie Walters, DMD

  • General Practice Dentistry
  • Apex, NC
National Provider Identifier
1629051057
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8649 Issued in NC
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
8649NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan, James, Wiles, Patel & Olsen LLP Past Accepting new patients
Landenberger and Douglass, DDS,PA General Practice PastSince Mar 11, 2025 Accepting new patients
Keene, DDS and Walters, DMD, PLLC PastSince Mar 11, 2025 Accepting new patients
Ryan, James, Wiles, Patel & Olsen LLP PastSince Jun 8, 2025 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.

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.

Verify at the official NPI Registry.