David R J Plummer, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

NC4801 Issued in NC

Practice address

3801 Indiana Ave
Winston Salem, NC 27105-3408

Phone

(336) 744-1300

Fax

(336) 744-9000

NPI assigned

Apr 24, 2007

Last updated

Apr 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eric J. Sadler, D.D.S., PA

  dba Eric J Sadler David RJ Plummer DDS

  • General Practice Dentistry
  • Winston Salem, NC
  • NPI 1538271655
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1114146875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 INDIANA AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271053408",
            "telephone_number": "336-744-1300",
            "fax_number": "336-744-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 INDIANA AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271053408",
            "telephone_number": "336-744-1300",
            "fax_number": "336-744-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "DAVID",
        "middle_name": "R J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "NC4801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "96945",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8996945",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Sagar Plonk, PA-C
• Drew Patterson Plonk, M.D.
• George Webb Plonk Jr., MD
• Sean M Ploof, M.D.
• Anna Leigh Plummer-Roberts, CRNA
• Podiatry Associates of Winston Salem , Inc.
• Gary George Poehling, MD
• Katherine Poehling, MD
• Hope Poindexter
• Yashashwi Pokharel, M.D.

• Dentist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.