NPIMap

Organization Active NPI

Cuthrell, DDS and Mochnick, DMD, PA

  • General Practice Dentistry
  • Winston Salem, NC
National Provider Identifier
1003845389
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5742 Issued in NC
Legal business name
CUTHRELL, DDS AND MOCHNICK, DMD, PA
Practice address
1341 Westgate Center Dr Ste B
Winston Salem, NC 27103-3043
Phone
(336) 765-3712
Fax
(336) 760-0667
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Dr. Jonathan Cuthrell, DDSNPI 1306981030
Title
Owner
Phone
(336) 765-3712

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5742 NC Primary

Addresses

Primary practice location

1341 Westgate Center Dr Ste B
Winston Salem, NC 27103-3043

Mailing address

1341 Westgate Center Dr Ste B
Winston Salem, NC 27103-3043
Phone (336) 765-3712

Other identifiers 1

IdentifierTypeStateIssuer
8990155MedicaidNC

National Provider Directory

National Provider Directory

Locations

1341 Westgate Center Dr
Ste B
Winston Salem, NC 27103
Phone (336) 765-3712

Practitioners & affiliated clinicians

Practitioners 6

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": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1003845389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 WESTGATE CENTER DR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033043",
            "telephone_number": "336-765-3712",
            "fax_number": "336-760-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 WESTGATE CENTER DR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033043",
            "telephone_number": "336-765-3712",
            "fax_number": "336-760-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTHRELL, DDS AND MOCHNICK, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "CUTHRELL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-765-3712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990155",
            "state": "NC"
        }
    ],
    "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 Jul 5, 2016; 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.