Active NPI
David E Thome DDS PLLC II
- Pediatric Dentistry
- Mooresville, NC
National Provider Identifier
1124457817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- DAVID E THOME DDS PLLC II
- Practice address
- 202 Williamson Rd
Suite 200
Mooresville, NC 28117-7610 - Phone
- (704) 360-8670
- Fax
- (704) 360-8675
- NPI assigned
- Nov 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sonya Myrick
- Title
- Director of Payor Rel & Cred
- Phone
- (980) 390-2807
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | NC | Primary |
Addresses
Primary practice location
202 Williamson Rd
Suite 200
Mooresville, NC 28117-7610
Mailing address
202 Williamson Rd Ste 200
Mooresville, NC 28117-7611
Phone (704) 360-8670
Other names 1
- Mooresville Pediatric Dentistry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780272000000",
"number": "1124457817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 WILLIAMSON RD STE 200",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281177611",
"telephone_number": "704-360-8670",
"fax_number": "704-360-8675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 WILLIAMSON RD",
"address_2": "SUITE 200",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281177610",
"telephone_number": "704-360-8670",
"fax_number": "704-360-8675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID E THOME DDS PLLC II",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-04",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A",
"authorized_official_last_name": "MYRICK",
"authorized_official_first_name": "SONYA",
"authorized_official_title_or_position": "DIRECTOR OF PAYOR REL & CRED",
"authorized_official_telephone_number": "980-390-2807"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mooresville Pediatric Dentistry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mooresville Pediatric Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.