Active NPI
Tara Lynnette Wiggins-Smith, D.D.S.
- Dentist
- Holly Springs, NC
National Provider Identifier
1801054911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8595
- Practice address
- 5050 Kentworth Drive
Holly Springs, NC 27540-5956 - Phone
- (919) 599-2511
- NPI assigned
- May 26, 2008
- 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 | 8595 | NC | Primary |
Addresses
Primary practice location
5050 Kentworth Drive
Holly Springs, NC 27540-5956
Mailing address
5050 Kentworth Drive
Holly Springs, NC 27540-5956
Phone (919) 599-2511
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160621002175 | NC | Order and Referring Only - Other (Non-Physician) | 8123319258 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8595 | NC | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1801054911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 KENTWORTH DRIVE",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275405956",
"telephone_number": "919-599-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 KENTWORTH DRIVE",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275405956",
"telephone_number": "919-599-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS-SMITH",
"first_name": "TARA",
"middle_name": "LYNNETTE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-26",
"last_updated": "2023-09-20",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly Springs, NC
- Wendie Lubinsky Counseling PLLC
- Alexis Dontavia White, CNM
- Rebekah White
- Catherine Shumaker Whitman, NP
- Wiggins & Giles, DDS, PA (Main Street Family Dentistry)
- Ambri Williams
- Angela Stella Williams, RPH
- Sabrina R Williams, MSW, LCSW-A
- Wilson Physical Therapy and Performance, LLC (Village Physical Therapy)
- James McLeod Wilson Jr., DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.