NPIMap

Organization Active NPI

Charlotte Broughton, DDS

  • Dentist
  • Winston Salem, NC
National Provider Identifier
1003089111
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7114 Issued in NC
Legal business name
CHARLOTTE BROUGHTON, DDS
Practice address
140 Lockland Ave
Winston Salem, NC 27103-2709
Phone
(336) 722-7534
Fax
(336) 722-4518
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mrs. Lee T Dixon
Title
Office Manager
Phone
(336) 722-7534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7114 NC Primary

Addresses

Primary practice location

140 Lockland Ave
Winston Salem, NC 27103-2709

Mailing address

140 Lockland Ave
Winston Salem, NC 27103-2709
Phone (336) 722-7534

National Provider Directory

National Provider Directory

Locations

140 Lockland Ave
Winston Salem, NC 27103
Phone (336) 722-7534

Practitioners & affiliated clinicians

Practitioners 7

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": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1003089111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LOCKLAND AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032709",
            "telephone_number": "336-722-7534",
            "fax_number": "336-722-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LOCKLAND AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032709",
            "telephone_number": "336-722-7534",
            "fax_number": "336-722-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE BROUGHTON, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-722-7534",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.