Active NPI
Wyanet Robinson
- Dentist
- Goldsboro, NC
National Provider Identifier
1699771055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8712
- Practice address
- 1401 W Ash St
Goldsboro, NC 27530-1078 - Phone
- (919) 947-7432
- NPI assigned
- Jun 21, 2005
- Last updated
- Jun 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8712 | NC | Primary |
Addresses
Primary practice location
1401 W Ash St
Goldsboro, NC 27530-1078
Mailing address
1401 W Ash St
Goldsboro, NC 27530-1078
Phone (919) 947-7432
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180716003317 | NC | Order and Referring Only - Dentist | 4981951365 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8712 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 8724 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1699771055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 W ASH ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275301078",
"telephone_number": "919-947-7432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W ASH ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275301078",
"telephone_number": "919-947-7432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "WYANET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.