Organization Active NPI

Albemarle Dental Associates

  • General Practice Dentistry
  • Edenton, NC
National Provider Identifier
1073846473
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6448 Issued in NC
Legal business name
ALBEMARLE DENTAL ASSOCIATES
Practice address
103 Mark Dr
Edenton, NC 27932-1704
Phone
(252) 482-5131
Fax
(252) 482-5587
NPI assigned
Sep 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Authorized official

Name
Dr. Allen Hornthal, DDS
Title
Administrative
Phone
(252) 482-5131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6448 NC Primary

Addresses

Primary practice location

103 Mark Dr
Edenton, NC 27932-1704

Mailing address

103 Mark Dr
Edenton, NC 27932-1704
Phone (252) 482-5131

National Provider Directory

National Provider Directory

Locations

103 Mark Dr
Edenton, NC 27932
Phone (252) 482-5105

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1073846473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MARK DR",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321704",
            "telephone_number": "252-482-5131",
            "fax_number": "252-482-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MARK DR",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321704",
            "telephone_number": "252-482-5131",
            "fax_number": "252-482-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "HORNTHAL",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "ADMINISTRATIVE",
        "authorized_official_telephone_number": "252-482-5131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edenton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.