Organization Active NPI

N. Rouse Wilson, III, DDS, PA

  • General Practice Dentistry
  • Pittsboro, NC
National Provider Identifier
1679657886
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5465 Issued in NC
Legal business name
N. ROUSE WILSON, III, DDS, PA
Practice address
767 West Street
Pittsboro, NC 27312-0940
Phone
(919) 542-3502
Fax
(919) 542-4719
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Mrs. Susan S. Wilson
Title
Business Manager
Phone
(919) 542-3502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5465 NC Primary

Addresses

Primary practice location

767 West Street
Pittsboro, NC 27312-0940

Mailing address

PO Box 940
Pittsboro, NC 27312-0940
Phone (919) 542-3502

Other identifiers 1

IdentifierTypeStateIssuer
8999413MedicaidNC

Other names 1

  • N. Rouse Wilson, III, DDS Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1679657886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273120940",
            "telephone_number": "919-542-3502",
            "fax_number": "919-542-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 WEST STREET",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273120940",
            "telephone_number": "919-542-3502",
            "fax_number": "919-542-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N. ROUSE WILSON, III, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "919-542-3502",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8999413",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N. Rouse Wilson, III, DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pittsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.