Individual provider Active NPI

Caroline Hawkins McCumbee, DDS

  • General Practice Dentistry
  • Mount Holly, NC
National Provider Identifier
1134879844
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12770 Issued in NC
Practice address
225 S Hawthorne St
Mount Holly, NC 28120-1643
Phone
(704) 648-9444
NPI assigned
Mar 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12770 NC Primary

Addresses

Primary practice location

225 S Hawthorne St
Mount Holly, NC 28120-1643

Mailing address

123 Crest St
Mount Holly, NC 28120-1630
Phone (704) 648-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12770NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1134879844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CREST ST",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281201630",
            "telephone_number": "704-648-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S HAWTHORNE ST",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281201643",
            "telephone_number": "704-648-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUMBEE",
        "first_name": "CAROLINE",
        "middle_name": "HAWKINS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.