NPIMap

Organization Active NPI

Graduate Orthodontics Clinic

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chapel Hill, NC
National Provider Identifier
1063617199
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
GRADUATE ORTHODONTICS CLINIC
Practice address
CB 7450 Old Dental BLDG
Chapel Hill, NC 27599-0001
Phone
(919) 966-2769
NPI assigned
Jun 19, 2007
Organization subpart
Yes
Parent organization
UNC STUDENT DENTAL CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Faith Patterson
Title
Manager, Orthodontics
Phone
(919) 966-2769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

CB 7450 Old Dental BLDG
Chapel Hill, NC 27599-0001

Mailing address

CB 7450 Old Dental BLDG
Chapel Hill, NC 27599-0001

Other identifiers 1

IdentifierTypeStateIssuer
890181UMedicaidNC

Other names 1

  • UNC School of Dentistry Other name

National Provider Directory

National Provider Directory
Tax ID family
Graduate Orthodontics Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

CB 7450 Old Dental
Chapel Hill, NC 27599
Phone (919) 966-2769

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1063617199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CB 7450 OLD DENTAL BLDG",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CB 7450 OLD DENTAL BLDG",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-966-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADUATE ORTHODONTICS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNC STUDENT DENTAL CLINICS",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "MANAGER, ORTHODONTICS",
        "authorized_official_telephone_number": "919-966-2769"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890181U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNC School of Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.