James Douglas Medwick, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9098 Issued in NC

Practice address

970 Diamond Head Dr S
Pinehurst, NC 28374-9774

Phone

(910) 992-8473

NPI assigned

Aug 17, 2007

Last updated

Dec 8, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• James D. Medwick, DMD, P.a.

  dba Pinehurst Dental

  • Dental Clinic/Center
  • Pinehurst, NC
  • NPI 1477084135
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1659563138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748707",
            "telephone_number": "910-295-9700",
            "fax_number": "910-295-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 DIAMOND HEAD DR S",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749774",
            "telephone_number": "910-992-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDWICK",
        "first_name": "JAMES",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Donald Mead, DMD
• Carly Elizabeth Meadows, LCMHCA
• Gary Edward Means, MD
• Mark Frederic Medford, M.D.
• Medhead, PLLC
• Alexey B Melkumov, M.D.
• Sydney Mellor
• Lori L Meltzer, P.T.
• Christopher Michael Melvin, CADC
• Evelyn Gabuya Metz, DNP

• General Practice Dentistry in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.

Verify at the official NPI Registry.