Reginald Dale Villeponteaux, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30506 Issued in NC

Practice address

3333 Silas Creek Pkwy
Attn: Ipof
Winston-Salem, NC 27103-3013

Phone

(336) 718-7080

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770544918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FRONTIS PLAZA BLVD STE 200",
            "address_2": "ATTN FORSYTH MEDICAL GROUP",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035616",
            "telephone_number": "336-277-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SILAS CREEK PKWY",
            "address_2": "ATTN: IPOF",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271033013",
            "telephone_number": "336-718-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEPONTEAUX",
        "first_name": "REGINALD",
        "middle_name": "DALE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "30506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7985078",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antenor Pierre Vilceus, MD
• Alexandria Vilchis
• Caroline Torres Villagomez, DPT
• Jonathan Robert Villanova, R PH
• Christopher Edison Villarraga, ARNP
• Carol Logan Vincent, MD
• Max Joseph Vinograd, PA-C
• Vinson Psychological Services, PLLC
• Nicholas Steven Viole, MD
• Virginia Health Partners LLC

• Internal Medicine Physician in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.