Organization Active NPI

James K. Jolly, D.D.S, PA

  • Dental Clinic/Center
  • Salisbury, NC
National Provider Identifier
1013177922
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8556 Issued in NC
Legal business name
JAMES K. JOLLY, D.D.S, PA
Practice address
1819 E Innes St
Salisbury, NC 28146-6121
Phone
(704) 633-7117
Fax
(704) 633-4637
NPI assigned
Jun 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mrs. Mary Frances Jackson
Title
Office Coordinator
Phone
(704) 633-7117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8556 NC Primary

Addresses

Primary practice location

1819 E Innes St
Salisbury, NC 28146-6121

Mailing address

1819 E Innes St
Salisbury, NC 28146-6121
Phone (704) 633-7117

National Provider Directory

National Provider Directory

Locations

1819 E Innes St
Salisbury, NC 28146
Phone (704) 633-7117

Practitioners & affiliated clinicians

Practitioners 1

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": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1013177922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 E INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281466121",
            "telephone_number": "704-633-7117",
            "fax_number": "704-633-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 E INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281466121",
            "telephone_number": "704-633-7117",
            "fax_number": "704-633-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES K. JOLLY, D.D.S, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "704-633-7117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "8556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.