Individual provider Active NPI

John Lester Cloninger, DDS

  • General Practice Dentistry
  • Lincolnton, NC
National Provider Identifier
1013973908
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3135 Issued in NC
Practice address
640 S Magnolia St
Lincolnton, NC 28092-3736
Phone
(704) 732-3336
Fax
(704) 735-3637
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3135 NC Primary

Addresses

Primary practice location

640 S Magnolia St
Lincolnton, NC 28092-3736

Mailing address

640 S Magnolia St
Lincolnton, NC 28092-3736
Phone (704) 732-3336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 11, 2015 through Sep 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3135NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan C Austin DMD PA Past Accepting new patients
John L. Cloninger, DDS. PA General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013973908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S MAGNOLIA ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923736",
            "telephone_number": "704-732-3336",
            "fax_number": "704-735-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S MAGNOLIA ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923736",
            "telephone_number": "704-732-3336",
            "fax_number": "704-735-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLONINGER",
        "first_name": "JOHN",
        "middle_name": "LESTER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

Verify at the official NPI Registry.