Organization Active NPI

Blue Ridge Free Dental Clinic

  • Dentist
  • Cashiers, NC
National Provider Identifier
1144564634
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8147 Issued in NC
Legal business name
BLUE RIDGE FREE DENTAL CLINIC
Practice address
130 US Hwy 64 East Unit 12
Laurel Terrace
Cashiers, NC 28717
Phone
(828) 743-3393
Fax
(828) 743-5038
NPI assigned
Nov 21, 2012
Last updated
Nov 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Ms. Karen S Minton
Title
Executive Directo
Phone
(828) 743-3393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8147 NC Primary

Addresses

Primary practice location

130 US Hwy 64 East Unit 12
Laurel Terrace
Cashiers, NC 28717

Mailing address

PO Box 451
Cashiers, NC 28717-0451
Phone (828) 743-3393

National Provider Directory

National Provider Directory

Locations

130 US 64 E
Ste 12
Cashiers, NC 28717
Phone (828) 743-3393

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1144564634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451",
            "city": "CASHIERS",
            "state": "NC",
            "postal_code": "287170451",
            "telephone_number": "828-743-3393",
            "fax_number": "828-743-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 US HWY 64 EAST UNIT 12",
            "address_2": "LAUREL TERRACE",
            "city": "CASHIERS",
            "state": "NC",
            "postal_code": "28717",
            "telephone_number": "828-743-3393",
            "fax_number": "828-743-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE FREE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "MINTON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTO",
        "authorized_official_telephone_number": "828-743-3393",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cashiers, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.