NPIMap

Organization Active NPI

Reebye Park & Richman DDS PLC

Doing business as Triangle Implant Center Wilson

  • Dentist
  • Wilson, NC
National Provider Identifier
1669892725
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
REEBYE PARK & RICHMAN DDS PLC
Doing business as
Triangle Implant Center Wilson
Practice address
1706 Medical Park Dr W
Wilson, NC 27893
Phone
(252) 243-3223
NPI assigned
Apr 16, 2014
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Andres F Henao
Title
Technical Director
Phone
(919) 563-2897

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X

Addresses

Primary practice location

1706 Medical Park Dr W
Wilson, NC 27893

Mailing address

1706 Medical Park Dr W
Wilson, NC 27893-2705
Phone (252) 243-3223

Other names 1

  • Triangle Implant Center Wilson Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Reebye Park Richman DDS PLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1706 Medical Park Dr W
Wilson, NC 27893
Phone (252) 243-3223

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1669892725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 MEDICAL PARK DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932705",
            "telephone_number": "252-243-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 MEDICAL PARK DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-243-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEBYE PARK & RICHMAN DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "HENAO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "TECHNICAL DIRECTOR",
        "authorized_official_telephone_number": "919-563-2897"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triangle Implant Center Wilson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Triangle Implant Center Wilson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.