NPIMap

Organization Active NPI

Jonathan S. Ludwig, DMD, PA

  • General Practice Dentistry
  • Leland, NC
National Provider Identifier
1114173135
Registry record updated Aug 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8505 Issued in NC
Legal business name
JONATHAN S. LUDWIG, DMD, PA
Practice address
1014 Grandiflora Dr
Suite B
Leland, NC 28451-7454
Phone
(910) 371-5965
Fax
(910) 371-5959
NPI assigned
Aug 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2008

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

Authorized official

Name
Dr. Jonathan Stuart Ludwig, DMDNPI 1689681470
Title
President
Phone
(203) 710-6849

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 8505 NC Primary

Addresses

Primary practice location

1014 Grandiflora Dr
Suite B
Leland, NC 28451-7454

Mailing address

1014 Grandiflora Dr
Suite B
Leland, NC 28451-7454
Phone (910) 371-5965

National Provider Directory

National Provider Directory

Locations

1014 Grandiflora Dr
#B
Leland, NC 28451
Phone (910) 371-5965

Practitioners & affiliated clinicians

Practitioners 1

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": "1218326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218326400000",
    "number": "1114173135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 GRANDIFLORA DR",
            "address_2": "SUITE B",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517454",
            "telephone_number": "910-371-5965",
            "fax_number": "910-371-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 GRANDIFLORA DR",
            "address_2": "SUITE B",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517454",
            "telephone_number": "910-371-5965",
            "fax_number": "910-371-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN S. LUDWIG, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-10",
        "last_updated": "2008-08-10",
        "status": "A",
        "authorized_official_last_name": "LUDWIG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-710-6849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2008; 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.