NPIMap

Organization Active NPI

East Carolina University School of Dental Medicine

  • Dentist
  • Sylva, NC
National Provider Identifier
1073069555
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
151098 Issued in NC
Legal business name
EAST CAROLINA UNIVERSITY SCHOOL OF DENTAL MEDICINE
Practice address
316 County Services Park
Sylva, NC 28779-5713
Phone
(828) 586-1200
Fax
(828) 586-0047
NPI assigned
Aug 25, 2016
Last updated
Aug 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Dr. Dexter Gregory Chadwick, DDS, MSNPI 1396987079
Title
Dean, School of Dental Medicine
Phone
(252) 737-7401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 151098 NC Primary

Addresses

Primary practice location

316 County Services Park
Sylva, NC 28779-5713

Mailing address

1851 Macgregor Downs Rd
Greenville, NC 27834-5925
Phone (252) 737-7000

Other identifiers 1

IdentifierTypeStateIssuer
5920268MedicaidNC

Other names 1

  • ECU School of Dental Medicine Other name

National Provider Directory

National Provider Directory
Tax ID family
Ecu School Medicine Cli64 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1073069555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 MACGREGOR DOWNS RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345925",
            "telephone_number": "252-737-7000",
            "fax_number": "252-737-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 COUNTY SERVICES PARK",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795713",
            "telephone_number": "828-586-1200",
            "fax_number": "828-586-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA UNIVERSITY SCHOOL OF DENTAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "CHADWICK",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "DEAN, SCHOOL OF DENTAL MEDICINE",
        "authorized_official_telephone_number": "252-737-7401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "151098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920268",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECU School of Dental Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.