John Addison, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12513 Issued in NC

Practice address

501 N Salem St Ste 105
Apex, NC 27502-2315

Phone

(919) 804-0351

NPI assigned

Jun 6, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John Addison, DMD, PA

  • General Practice Dentistry
  • Miami, FL
  • NPI 1588903942
  NPD Authorized official
• John Addison, DMD, PA

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
  • NPI 1699277178
  NPD
• Jones Kofford & Smith DDS III PLLC

  • General Practice Dentistry
  • Durham, NC
  • NPI 1417503210
  NPD (past)
• William S Harvey III DDS9 PLLC

  • General Practice Dentistry
  • Durham, NC
  • NPI 1558060335
  NPD (past)

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1134413248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N SALEM ST STE 105",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275022315",
            "telephone_number": "919-804-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N SALEM ST STE 105",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275022315",
            "telephone_number": "919-804-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDISON",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19344",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adma Primary Care PC
• Adria Sullivan PC
• Advance Community Health, Inc
• Advance Community Health, Inc
• Advance Community Health, Inc

• General Practice Dentistry in Apex, NC
• Providers in Apex, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.