Active NPI
N. Rouse Wilson, III, DDS, PA
- General Practice Dentistry
- Pittsboro, NC
National Provider Identifier
1679657886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5465
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8999413 | Medicaid | NC |
Other names 1
- N. Rouse Wilson, III, DDS
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Pittsboro, NC
- NPI 1821737610
-
- General Practice Dentistry
- Pittsboro, NC
- NPI 1306920517
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.