Organization Active NPI

David E Thome DDS PLLC IX

  • Pediatric Dentistry
  • Concord, NC
National Provider Identifier
1104469808
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DAVID E THOME DDS PLLC IX
Practice address
5641 Poplar Tent Rd Ste 201
Concord, NC 28027-7588
Phone
(980) 729-5200
NPI assigned
Oct 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Sonya Myrick
Title
Director of Cred. & Payor Relations
Phone
(980) 390-2807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

5641 Poplar Tent Rd Ste 201
Concord, NC 28027-7588

Mailing address

5641 Poplar Tent Rd Ste 201
Concord, NC 28027-7588
Phone (704) 750-8394

National Provider Directory

National Provider Directory

Locations

5641 Poplar Tent Rd
Ste 201
Concord, NC 28027
Phone (704) 750-8394

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1104469808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5641 POPLAR TENT RD STE 201",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277588",
            "telephone_number": "704-750-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5641 POPLAR TENT RD STE 201",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277588",
            "telephone_number": "980-729-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E THOME DDS PLLC IX",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "MYRICK",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "DIRECTOR OF CRED. & PAYOR RELATIONS",
        "authorized_official_telephone_number": "980-390-2807"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.