NPIMap

Organization Active NPI

Appalachian District Health Department

  • General Practice Dentistry
  • Warrensville, NC
National Provider Identifier
1134670607
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10356 Issued in NC
Legal business name
APPALACHIAN DISTRICT HEALTH DEPARTMENT
Practice address
255 Northwest LN
Warrensville, NC 28693-9244
Phone
(336) 384-1625
NPI assigned
Oct 20, 2016
Last updated
Dec 28, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
APPALACHIAN DISTRICT HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Daryl Beth Lovette
Title
Health Director
Phone
(828) 264-4995

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X NU
General Practice Dentistry 1223G0001X 10356 NC Primary

Addresses

Primary practice location

255 Northwest LN
Warrensville, NC 28693-9244

Mailing address

PO Box 208
Jefferson, NC 28640-0208
Phone (336) 246-9449

Other identifiers 1

IdentifierTypeStateIssuer
1285081562OtherNCNPI FOR MEDICAL CLINIC

Other names 1

  • AppHealth Dental-SBHC Other name

National Provider Directory

National Provider Directory
Tax ID family
Appalachian District10 organizations share this tax ID, including this one
Part of
Appalachian District

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1134670607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286400208",
            "telephone_number": "336-246-9449",
            "fax_number": "336-246-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 NORTHWEST LN",
            "city": "WARRENSVILLE",
            "state": "NC",
            "postal_code": "286939244",
            "telephone_number": "336-384-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPALACHIAN DISTRICT HEALTH DEPARTMENT",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "LOVETTE",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "828-264-4995"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR MEDICAL CLINIC",
            "identifier": "1285081562",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AppHealth Dental-SBHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Warrensville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.