Organization Active NPI

David E Thome DDS PLLC II

  • Pediatric Dentistry
  • Mooresville, NC
National Provider Identifier
1124457817
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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

Updated by the provider on Jun 1, 2026

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.