Dr. Michael K Wimberly P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

5759 Issued in NC

Legal business name

DR. MICHAEL K WIMBERLY P.C.

Practice address

1285 Wilkesboro Blvd
Lenoir, NC 28645-4728

Phone

(828) 757-1188

Fax

(828) 758-2414

NPI assigned

Jun 12, 2008

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Keith Wimberly, DDS

Title

Owner

Phone

(828) 757-1188

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1710147707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 WILKESBORO BLVD",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454728",
            "telephone_number": "828-757-1188",
            "fax_number": "828-758-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 WILKESBORO BLVD",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454728",
            "telephone_number": "828-757-1188",
            "fax_number": "828-758-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL K WIMBERLY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "WIMBERLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-757-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "5759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DENTAL LICENSE",
            "identifier": "5759",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian S Dodd, PAC
• Donald D McNeill MD PA
• Donna S. West
• Douglas R. Terry D.D.S., PA
• Dr Michael J Gordon DDS PA (Lenoir Family Dentistry)
• Jonas Eric Dravland, M.D.
• Cameo Drew
• Amanda Winkler Du Sablon, DO
• Ralph H. Duckett, MD
• Robert Duggan, D.P.M.

• Dentist in Lenoir, NC
• Providers in Lenoir, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.