NPIMap

Organization Active NPI

County of Cleveland North Carolina

Doing business as Cleveland County Dental Clinic

  • State or Local Public Health Clinic/Center
  • Shelby, NC
National Provider Identifier
1083028948
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF CLEVELAND NORTH CAROLINA
Doing business as
Cleveland County Dental Clinic
Practice address
315 E Grover St
Shelby, NC 28150-3919
Phone
(704) 484-5100
Fax
(704) 484-5220
NPI assigned
Jun 18, 2014
Organization subpart
Yes
Parent organization
COUNTY OF CLEVELAND NORTH CAROLINAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Dorothea Wyant
Title
Health Director
Phone
(704) 484-5100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

315 E Grover St
Shelby, NC 28150-3919

Mailing address

315 E Grover St
Shelby, NC 28150-3919
Phone (704) 484-5100

Other identifiers 1

IdentifierTypeStateIssuer
2344813MedicaidNC

Other names 1

  • Cleveland County Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Cleveland North Carolina7 organizations share this tax ID, including this one
Part of
County of Cleveland North Carolina

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1083028948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503919",
            "telephone_number": "704-484-5100",
            "fax_number": "704-484-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503919",
            "telephone_number": "704-484-5100",
            "fax_number": "704-484-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CLEVELAND NORTH CAROLINA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF CLEVELAND NORTH CAROLINA",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "WYANT",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "704-484-5100"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2344813",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland County Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.