NPIMap

Organization Active NPI

County of Haywood

  • Dental Clinic/Center
  • Clyde, NC
National Provider Identifier
1083979587
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
COUNTY OF HAYWOOD
Practice address
157 Paragon Parkway
Suite 700
Clyde, NC 28721
Phone
(828) 452-6701
Fax
(828) 452-6619
NPI assigned
Jul 10, 2012
Organization subpart
Yes
Parent organization
HAYWOOD COUNTY HEALTH DEPT-DENTAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Patrick H. Johnson, RN C,MPA,PUBLIC HEAL
Title
Public Health Director
Phone
(828) 452-6675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

157 Paragon Parkway
Suite 700
Clyde, NC 28721

Mailing address

157 Paragon Parkway
Suite 700
Clyde, NC 28721
Phone (828) 452-6701

Other identifiers 1

IdentifierTypeStateIssuer
61473OtherNCBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Haywood County Health and Human Services Agency12 organizations share this tax ID, including this one
Part of
Haywood County Health and Human Services Agency

Other organizations with this tax ID 11

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

Locations

157 Paragon Pkwy
Ste 700
Clyde, NC 28721
Phone (828) 452-6701

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1083979587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 PARAGON PARKWAY",
            "address_2": "SUITE 700",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "28721",
            "telephone_number": "828-452-6701",
            "fax_number": "828-452-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 PARAGON PARKWAY",
            "address_2": "SUITE 700",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "28721",
            "telephone_number": "828-452-6701",
            "fax_number": "828-452-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF HAYWOOD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAYWOOD COUNTY HEALTH DEPT-DENTAL HEALTH",
        "enumeration_date": "2012-07-10",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "828-452-6675",
        "authorized_official_credential": "RN C,MPA,PUBLIC HEAL"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "61473",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.