Waldrep & Waldrep, DMD, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9463 Issued in NC

Legal business name

WALDREP & WALDREP, DMD, PLLC

Doing business as

Waldrep Family Dentistry

Practice address

450 New Market Blvd Ste 4
Boone, NC 28607-5501

Phone

(828) 264-3211

Fax

(828) 264-0677

NPI assigned

Jul 9, 2013

Last updated

Jul 9, 2013By 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. Wesley J Waldrep, DMDNPI 1023241221

Title

Manager

Phone

(828) 264-3211

Specialties & licenses 1

Addresses

Other names 1

• Waldrep Family Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wesley Joseph Waldrep, DMD

  • Dentist
  • Boone, NC
  • NPI 1023241221
  NPD (past) Authorized official
• Julie Indicott Waldrep, DMD

  • Dentist
  • Boone, NC
  • NPI 1225277205
  NPD (past)

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1821439670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NEW MARKET BLVD STE 4",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075501",
            "telephone_number": "828-264-3211",
            "fax_number": "828-264-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NEW MARKET BLVD STE 4",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075501",
            "telephone_number": "828-264-3211",
            "fax_number": "828-264-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDREP & WALDREP, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "WALDREP",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-264-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waldrep Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Voca Corporation of North Carolina, Inc.
• Andrew Thomas Voglewede, M.D.
• Wake Forest Health Network LLC (Samaritans Purse)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2496)
• Wal-Mart Stores East, LP (Vision Center 30-2496)
• Julie Indicott Waldrep, DMD
• Wesley Joseph Waldrep, DMD
• Walgreen Co (Rite Aid)
• Walgreen Co (Walgreens #02540)
• Walgreen Co (Rite Aid)

• General Practice Dentistry in Boone, NC
• Providers in Boone, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.