Organization Active NPI

David E Thome DDS PLLC VI

Doing business as Lincolnton Pediatric Dentistry

  • Pediatric Dentistry
  • Lincolnton, NC
National Provider Identifier
1114475159
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DAVID E THOME DDS PLLC VI
Doing business as
Lincolnton Pediatric Dentistry
Practice address
701 S Laurel St
#1
Lincolnton, NC 28092-3652
Phone
(704) 604-0353
NPI assigned
Sep 20, 2016
Last updated
Jun 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Lucenda Harris
Title
Credentialing & Contracting Coordin
Phone
(980) 729-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NC Primary

Addresses

Primary practice location

701 S Laurel St
#1
Lincolnton, NC 28092-3652

Mailing address

PO Box 530172
Atlanta, GA 30353-0172
Phone (980) 729-5200

Other names 1

  • Lincolnton Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

8301 University Exec Park Dr
Ste 106
Charlotte, NC 28262

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1114475159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530172",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530172",
            "telephone_number": "980-729-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S LAUREL ST",
            "address_2": "#1",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923652",
            "telephone_number": "704-604-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E THOME DDS PLLC VI",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LUCENDA",
        "authorized_official_title_or_position": "CREDENTIALING & CONTRACTING COORDIN",
        "authorized_official_telephone_number": "980-729-5200"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincolnton Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lincolnton Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.