Jack Lee Wilhelm, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4968 Issued in NC

Practice address

5503 Oleander Dr
Wilmington, NC 28403-5813

Phone

(910) 392-1905

Fax

(910) 392-0462

NPI assigned

Jan 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Wilhelm and Parkhurst, DDS,PA

  • Dentist
  • Wilmington, NC
  • NPI 1962569137
  NPD (past) Authorized official
• Parkhurst and Belisle, DDS, PLLC

  • Dentist
  • Wilmington, NC
  • NPI 1639340318
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972656635",
    "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": {
        "last_name": "WILHELM",
        "first_name": "JACK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "545685",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8999283",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Scott Wiles, D.O.
• Sarah Elizabeth Wiles, LCSW
• Wiley L. Edwards Jr. DDS Wilmington PLLC (Wilmington Dentures and Implants)
• Grant Harrison Wiley, RBT
• Wilhelm and Parkhurst, DDS,PA
• Robert Alexander Wilkerson
• Nakia Marie Wilkes, ICADC, CADC
• Jennifer Stephenson Wilkins, PT, DPT
• Randall Norman Willard, MD
• William D Kassens, Jr MD PA

• General Practice Dentistry in Wilmington, NC
• Providers in Wilmington, 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 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.