Individual provider Active NPI

Alexandria Stone Luper, D.M.D.

  • General Practice Dentistry
  • Wilson, NC
National Provider Identifier
1891143061
Registry record updated Jan 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10392 Issued in NC
Practice address
1310 Nash St N
Wilson, NC 27893-2364
Phone
(252) 237-3117
NPI assigned
May 28, 2016
Last updated
Jan 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10392 NC Primary

Addresses

Primary practice location

1310 Nash St N
Wilson, NC 27893-2364

Mailing address

1310 Nash St N
Wilson, NC 27893-2364
Phone (252) 237-3117

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160802002577 NC Order and Referring Only - DentistPractitioner - Dentist 0547554396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10392NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria S. Luper, D.M.D., P.L.L.C. General Practice Current Accepting new patients
CW Holland DDS PA Past Accepting new patients

Locations

1310 Nash St N
Wilson, NC 27893
Phone (252) 237-3117

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737244800000",
    "number": "1891143061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932364",
            "telephone_number": "252-237-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932364",
            "telephone_number": "252-237-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPER",
        "first_name": "ALEXANDRIA",
        "middle_name": "STONE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-28",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.