NPIMap

Organization Active NPI

Douglas C. Huitt D.D.S., P.a.

  • General Practice Dentistry
  • Shelby, NC
National Provider Identifier
1093902256
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5020 Issued in NC
Legal business name
DOUGLAS C. HUITT D.D.S., P.A.
Practice address
222 N Lafayette St
Suite 13
Shelby, NC 28150-4444
Phone
(704) 487-8931
Fax
(704) 487-8332
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. Douglas C Huitt, D.D.S.NPI 1790793123
Title
Dentist
Phone
(704) 487-8931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5020 NC Primary

Addresses

Primary practice location

222 N Lafayette St
Suite 13
Shelby, NC 28150-4444

Mailing address

222 N Lafayette St
Suite 13
Shelby, NC 28150-4444
Phone (704) 487-8931

Other identifiers 1

IdentifierTypeStateIssuer
7994230MedicaidNC

National Provider Directory

National Provider Directory

Locations

222 N Lafayette St
Ste 13
Shelby, NC 28150
Phone (704) 487-8931

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1093902256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N LAFAYETTE ST",
            "address_2": "SUITE 13",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504444",
            "telephone_number": "704-487-8931",
            "fax_number": "704-487-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N LAFAYETTE ST",
            "address_2": "SUITE 13",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504444",
            "telephone_number": "704-487-8931",
            "fax_number": "704-487-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS C. HUITT D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "HUITT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-487-8931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7994230",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 1, 2007; 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.