Organization Active NPI

Richard L. Dailey

  • General Practice Dentistry
  • Burlington, NC
National Provider Identifier
1013123116
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6218 Issued in NC
Legal business name
RICHARD L. DAILEY
Practice address
807 Hermitage Rd
Burlington, NC 27215-3513
Phone
(336) 513-0576
Fax
(336) 513-0578
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Debra Johnson
Title
Cda
Phone
(336) 513-0576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6218 NC Primary

Addresses

Primary practice location

807 Hermitage Rd
Burlington, NC 27215-3513

Mailing address

807 Hermitage Rd
Burlington, NC 27215-3513
Phone (336) 513-0576

Other identifiers 1

IdentifierTypeStateIssuer
8991984MedicaidNC

National Provider Directory

National Provider Directory

Locations

807 Hermitage Rd
Burlington, NC 27215
Phone (336) 513-0576

Practitioners & affiliated clinicians

Practitioners 1

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013123116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 HERMITAGE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153513",
            "telephone_number": "336-513-0576",
            "fax_number": "336-513-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 HERMITAGE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153513",
            "telephone_number": "336-513-0576",
            "fax_number": "336-513-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L. DAILEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CDA",
        "authorized_official_telephone_number": "336-513-0576"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8991984",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.