Active NPI
Mark a. Tripp & Associates
- General Practice Dentistry
- Matthews, NC
National Provider Identifier
1083938203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7034
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8256 | Other | NC | CIGNA |
| 8356 | Other | NC | CIGNA |
| 8256 | Other | NC | DELTA DENTAL |
| 7034 | Other | NC | CIGNA |
| 8861 | Other | NC | CIGNA |
| 8356 | Other | NC | DELTA DENTAL |
| 8861 | Other | NC | DELTA DENTAL |
| 7034 | Other | NC | DELTA DENTAL |
National Provider Directory
National Provider DirectoryLocations
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.