NPIMap

Organization Active NPI

Wake Forest Ambulatory Ventures, LLC

  • Ambulatory Surgical Clinic/Center
  • Greensboro, NC
National Provider Identifier
1992668008
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WAKE FOREST AMBULATORY VENTURES, LLC
Practice address
2909 Horse Pen Creek Rd
Greensboro, NC 27410-9701
Phone
(336) 716-3335
NPI assigned
Dec 5, 2025
Last updated
Dec 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Desiree Dunston
Title
Administator
Phone
(336) 716-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2909 Horse Pen Creek Rd
Greensboro, NC 27410-9701

Mailing address

2909 Horse Pen Creek Rd
Greensboro, NC 27410-9701
Phone (336) 716-3335

National Provider Directory

National Provider Directory
Tax ID family
Wake Forest Ambulatory Ventures LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1992668008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 HORSE PEN CREEK RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109701",
            "telephone_number": "336-716-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 HORSE PEN CREEK RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109701",
            "telephone_number": "336-716-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST AMBULATORY VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "DUNSTON",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "336-716-3335"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.