Dental Faculty Practice

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL FACULTY PRACTICE

Practice address

101 Brauer Hall CB 7450
Chapel Hill, NC 27599-0001

Phone

(919) 537-3940

Fax

(919) 537-3683

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ralph Leonard, DDS

Title

Director, Dental Faculty Practice

Phone

(919) 537-3940

Specialties & licenses 11

Addresses

Other identifiers 2

Other names 1

• UNC School of Dentistry Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison Lee, DDS, MS

  • Oral and Maxillofacial Pathology Dentistry
  • Chapel Hill, NC
  • NPI 1750876702
  Medicare reassignment Care Compare group NPD
• Lauren L Patton, DDS

  • General Practice Dentistry
  • Chapel Hill, NC
  • NPI 1588672315
  Medicare reassignment Care Compare group NPD
• Valerie Ann Murrah, D.M.D.

  • Oral and Maxillofacial Pathology Dentistry
  • Chapel Hill, NC
  • NPI 1114954211
  Medicare reassignment Care Compare group
• Mayank Shrivastava, BDS, MDS

  • Orofacial Pain Dentistry
  • Chapel Hill, NC
  • NPI 1871010165
  Medicare reassignment NPD
• Trishul Veera Allareddy, B.D.S., M.S

  • General Practice Dentistry
  • Chapel Hill, NC
  • NPI 1023268430
  NPD (past)
• Richard Allen Beane Jr., DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chapel Hill, NC
  • NPI 1740304922
  NPD (past)
• George H Blakey, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Chapel Hill, NC
  • NPI 1619973633
  NPD (past)
• Lee W Boushell, DMD

  • General Practice Dentistry
  • Chapel Hill, NC
  • NPI 1932233434
  NPD (past)
• Charles Frank Brantley III

  • General Practice Dentistry
  • Chapel Hill, NC
  • NPI 1629085899
  NPD (past)
• Ingeborg Johanna De Kok, DDS, MS

  • Prosthodontics
  • Apex, NC
  • NPI 1235297698
  NPD (past)
• Konstantina Dedi, DDS, MS

  • Prosthodontics
  • Chapel Hill, NC
  • NPI 1437273950
  NPD (past)
• Terence E Donovan, DDS

  • Prosthodontics
  • Chapel Hill, NC
  • NPI 1417166679
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1023044526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BRAUER HALL CB 7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-537-3940",
            "fax_number": "919-537-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRAUER HALL CB 7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-537-3940",
            "fax_number": "919-537-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL FACULTY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "DIRECTOR, DENTAL FACULTY PRACTICE",
        "authorized_official_telephone_number": "919-537-3940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901835",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01835",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNC School of Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Dennis
• Betty H Dennis
• Taylor Dennison, PHARMD
• Clark R Denniston, MD
• Georgette A Dent, MD
• Dentinger Chiropractic and Wellness PLLC
• Amber Depalma
• Dependex Medical Transport LLC
• Anna Deprenger, DO
• Nicholas Depriest, MD

• Dentist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.