NPIMap

Organization Active NPI

Arthur & Nicholson, DDS, PA

  • General Practice Dentistry
  • Roanoke Rapids, NC
National Provider Identifier
1023036837
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4908 Issued in NC
Legal business name
ARTHUR & NICHOLSON, DDS, PA
Practice address
551 Becker Dr
Roanoke Rapids, NC 27870-3303
Phone
(252) 537-1054
Fax
(252) 537-1211
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Authorized official

Name
Tammy B Overton
Title
Administrator
Phone
(252) 537-1054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4908 NC Primary

Addresses

Primary practice location

551 Becker Dr
Roanoke Rapids, NC 27870-3303

Mailing address

551 Becker Drive
Roanoke Rapids, NC 27870-3303
Phone (252) 537-1054

Other identifiers 3

IdentifierTypeStateIssuer
017CHOtherNCNCBCBS GROUP PROV. NO.
240107OtherVAVABCBS GROUP PROV. NO.
8993995MedicaidNC

National Provider Directory

National Provider Directory

Locations

551 Becker Dr
Roanoke Rapids, NC 27870
Phone (252) 537-1054

Practitioners & affiliated clinicians

Practitioners 2

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1023036837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 BECKER DRIVE",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703303",
            "telephone_number": "252-537-1054",
            "fax_number": "252-537-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 BECKER DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703303",
            "telephone_number": "252-537-1054",
            "fax_number": "252-537-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR & NICHOLSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-537-1054"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBCBS GROUP PROV. NO.",
            "identifier": "017CH",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VABCBS GROUP PROV. NO.",
            "identifier": "240107",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993995",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.