Active NPI
Christopher Fairbanks, DMD
- General Practice Dentistry
- Mills River, NC
National Provider Identifier
1144742966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10779
- Practice address
- 3340 Boylston Hwy Unit 30
Mills River, NC 28759-4103 - Phone
- (828) 891-7999
- Fax
- (828) 891-6002
- NPI assigned
- Jul 13, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10779 | NC | Primary |
Addresses
Primary practice location
3340 Boylston Hwy Unit 30
Mills River, NC 28759-4103
Mailing address
3340 Boylston Hwy Unit 30
Mills River, NC 28759-4103
Phone (828) 891-7999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10779 | Other | NC | STATE OF NC DENTAL EXAMINERS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10779 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stohl & Pearce Mills River Dental Partnership | Current | Accepting new patients |
Locations
3340 Boylston Hwy
Unit 30
Mills River, NC 28759
Phone (828) 891-7999
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mills River Family Dental
- Dentist
- Mills River, NC
- NPI 1275254468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144742966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 BOYLSTON HWY UNIT 30",
"city": "MILLS RIVER",
"state": "NC",
"postal_code": "287594103",
"telephone_number": "828-891-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 BOYLSTON HWY UNIT 30",
"city": "MILLS RIVER",
"state": "NC",
"postal_code": "287594103",
"telephone_number": "828-891-7999",
"fax_number": "828-891-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRBANKS",
"first_name": "CHRISTOPHER",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "10779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NC DENTAL EXAMINERS",
"identifier": "10779",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mills River, NC
- Daniel T Drechsler, MD
- Barclay Driscoll, PHARMD
- Colleen Dyer
- Each One Teach One Reach One
- Empower Therapy Solutions, LLC
- Katie Beth Fischer, MS, RD, LDN
- Fletcher Hospital Inc (AdventHealth Medical Group Family Medicine at Forge Mountain)
- Fletcher Hospital Inc (AdventHealth Medical Group Family Medicine at Mills River)
- Dedra M Forbes, EDD, CCBT, MS/MA
- Forge Mountain Medicine, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.