Individual provider Active NPI

Nicholas John Hurley, D.D.S.

  • General Practice Dentistry
  • Thomasville, NC
National Provider Identifier
1114124005
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8433 Issued in NC
Practice address
1020 Randolph St
Suite 19
Thomasville, NC 27360-5877
Phone
(336) 476-1109
Fax
(336) 476-1101
NPI assigned
Jul 2, 2007
Last updated
Jul 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8433 NC Primary

Addresses

Primary practice location

1020 Randolph St
Suite 19
Thomasville, NC 27360-5877

Mailing address

1040 Randolph St
Suite19
Thomasville, NC 27360-6383
Phone (336) 476-1109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8433NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas J. Hurleyd D.D.S,, P.a. General Practice Past Accepting new patients
Stuart H. Whiddon, D.D.S., P.a. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1114124005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 RANDOLPH ST",
            "address_2": "SUITE19",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273606383",
            "telephone_number": "336-476-1109",
            "fax_number": "336-476-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RANDOLPH ST",
            "address_2": "SUITE 19",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605877",
            "telephone_number": "336-476-1109",
            "fax_number": "336-476-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.