NPIMap

Organization Active NPI

Wilhelm and Parkhurst, DDS,PA

  • Dentist
  • Wilmington, NC
National Provider Identifier
1962569137
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4968 Issued in NC
Legal business name
WILHELM AND PARKHURST, DDS,PA
Practice address
5503 Oleander Dr
Wilmington, NC 28403-5813
Phone
(910) 392-1905
Fax
(910) 392-0462
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Jack L Wilhelm, DDSNPI 1972656635
Title
Dentist
Phone
(910) 392-1905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 6167 NC
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 4968 NC Primary

Addresses

Primary practice location

5503 Oleander Dr
Wilmington, NC 28403-5813

Mailing address

5503 Oleander Dr
Wilmington, NC 28403-5813
Phone (910) 392-1905

Other identifiers 2

IdentifierTypeStateIssuer
8999283MedicaidNC
545685OtherNCUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

5503 Oleander Dr
Wilmington, NC 28403
Phone (910) 392-1905

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1962569137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035813",
            "telephone_number": "910-392-1905",
            "fax_number": "910-392-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035813",
            "telephone_number": "910-392-1905",
            "fax_number": "910-392-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILHELM AND PARKHURST, DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "WILHELM",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "910-392-1905",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6167",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "4968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8999283",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "545685",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.