WALLACE C. CARRILLO-MEDINA DMD
NPI 1558649947
Dentist - General Practice in High Point, NC

Q: What is Wallace Carrillo-medina's NPI number?

The NPI number for Wallace Carrillo-medina is 1558649947. It was assigned to this individual provider in the NPPES registry on August 2, 2011.

Q: What is Wallace Carrillo-medina's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since August 02, 2011PECOS Enrolled

101 NORTHPOINT AVE, HIGH POINT, NC 27262(336) 883-6450(336) 883-6451 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 14, 2026, Feb 10, 2025, Feb 24, 2022 and 7 more (10 updates tracked since 2018).

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About Wallace C. Carrillo-medina Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLACE C. CARRILLO-MEDINA DMD (NPI 1558649947) is an individual general practice provider in High Point, North Carolina, licensed in North Carolina (9900) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558649947

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameWALLACE C. CARRILLO-MEDINACredential: DMD

Location Address101 NORTHPOINT AVEHigh Point, NC 27262-7719

Mailing Address101 Northpoint AveHigh Point, NC 27262-7719 · (336) 883-6450 · Fax (336) 883-6451

Phone(336) 883-6450

Fax(336) 883-6451

Sole ProprietorNo

Enumeration DateAugust 2, 2011

Last NPPES UpdateApril 14, 202610 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1558649947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 9900

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

101 NORTHPOINT AVE, High Point, NC 27262

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wallace C. Carrillo-medina Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27262 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH TILMAN PERKINS DDS PA

Dentist (General Practice)