Organization Active NPI

Mark a. Tripp & Associates

  • General Practice Dentistry
  • Matthews, NC
National Provider Identifier
1083938203
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7034 Issued in NC
Legal business name
MARK A. TRIPP & ASSOCIATES
Practice address
1230 Mann Dr
Suite 100
Matthews, NC 28105-5535
Phone
(704) 845-5538
Fax
(704) 847-6508
NPI assigned
Mar 17, 2010
Last updated
Jan 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Dr. Mark Andrew Tripp, DDS
Title
Owner
Phone
(704) 845-5538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7034 NC Primary

Addresses

Primary practice location

1230 Mann Dr
Suite 100
Matthews, NC 28105-5535

Mailing address

1230 Mann Dr
Suite 100
Matthews, NC 28105-5535
Phone (704) 845-5538

Other identifiers 8

IdentifierTypeStateIssuer
8256OtherNCCIGNA
8356OtherNCCIGNA
8256OtherNCDELTA DENTAL
7034OtherNCCIGNA
8861OtherNCCIGNA
8356OtherNCDELTA DENTAL
8861OtherNCDELTA DENTAL
7034OtherNCDELTA DENTAL

National Provider Directory

National Provider Directory

Locations

1230 Mann Dr
Ste 100
Matthews, NC 28105
Phone (704) 461-0685

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1083938203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 MANN DR",
            "address_2": "SUITE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055535",
            "telephone_number": "704-845-5538",
            "fax_number": "704-847-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MANN DR",
            "address_2": "SUITE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055535",
            "telephone_number": "704-845-5538",
            "fax_number": "704-847-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. TRIPP & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-845-5538",
        "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": "7034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8256",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8356",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "8256",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7034",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8861",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "8356",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "8861",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "7034",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.