Organization Active NPI

Trinity Family Dentistry

  • General Practice Dentistry
  • Concord, NC
National Provider Identifier
1124559588
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
107448 Issued in NC
Legal business name
TRINITY FAMILY DENTISTRY
Doing business as
Trinity Cosmetic and General Dentistry
Practice address
6173 Bayfield Pkwy
Concord, NC 28027-7486
Phone
(704) 782-3232
NPI assigned
Mar 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Dr. Nikki Jones, DDS
Title
Owner
Phone
(704) 782-3232

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 107448 NC Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 107448 NC

Addresses

Primary practice location

6173 Bayfield Pkwy
Concord, NC 28027-7486

Mailing address

6173 Bayfield Pkwy
Concord, NC 28027-7486

Other names 1

  • Trinity Cosmetic and General Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trinity Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6173 Bayfield Pkwy
Concord, NC 28027
Phone (704) 782-3232

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1124559588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6173 BAYFIELD PKWY",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6173 BAYFIELD PKWY",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277486",
            "telephone_number": "704-782-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-782-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "107448",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "107448",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Cosmetic and General Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.