Organization Active NPI

Joel M Switzer DDS PC

  • Dentist
  • Winston Salem, NC
National Provider Identifier
1124025002
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55764 Issued in CA
Legal business name
JOEL M SWITZER DDS PC
Practice address
3745 Reynolda Rd
Winston Salem, NC 27106-2241
Phone
(336) 922-2542
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Authorized official

Name
Dr. Joel Moreland Switzer, DDSNPI 1447586615
Title
President
Phone
(336) 922-2542

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 55764 CA Primary

Addresses

Primary practice location

3745 Reynolda Rd
Winston Salem, NC 27106-2241

Mailing address

3745 Reynolda Rd
Winston Salem, NC 27106-2241
Phone (336) 922-2542

Other identifiers 1

IdentifierTypeStateIssuer
55764MedicaidCA

National Provider Directory

National Provider Directory

Locations

3745 Reynolda Rd
Winston Salem, NC 27106
Phone (336) 922-2542

Practitioners & affiliated clinicians

Practitioners 2

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1124025002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 REYNOLDA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062241",
            "telephone_number": "336-922-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 REYNOLDA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062241",
            "telephone_number": "336-922-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL M SWITZER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "SWITZER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "MORELAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-922-2542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55764",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.