NPIMap

Organization Active NPI

Stephen C Futrell DDS PA

  • Dentist
  • Jacksonville, NC
National Provider Identifier
1124205646
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6432 Issued in NC
Legal business name
STEPHEN C FUTRELL DDS PA
Practice address
32 Office Park Dr
Jacksonville, NC 28546-3217
Phone
(910) 353-8200
Fax
(910) 353-2196
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Mrs. Tammy Fountain Futrell
Title
Corporate Secretary
Phone
(910) 353-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 6432 NC Primary

Addresses

Primary practice location

32 Office Park Dr
Jacksonville, NC 28546-3217

Mailing address

32 Office Park Dr
Jacksonville, NC 28546-3217
Phone (910) 353-8200

National Provider Directory

National Provider Directory

Locations

32 Office Park Dr
Jacksonville, NC 28546
Phone (910) 353-8200

Practitioners & affiliated clinicians

Practitioners 3

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": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1124205646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463217",
            "telephone_number": "910-353-8200",
            "fax_number": "910-353-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463217",
            "telephone_number": "910-353-8200",
            "fax_number": "910-353-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN C FUTRELL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "FUTRELL",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "FOUNTAIN",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "910-353-8200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

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