NPIMap

Organization Active NPI

Paradise Family Dentistry

  • Health Maintenance Organization
  • Greensboro, NC
National Provider Identifier
1154564763
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
7603 Issued in NC
Legal business name
PARADISE FAMILY DENTISTRY
Practice address
104 W Northwood St
Suite C
Greensboro, NC 27401-1326
Phone
(336) 272-8087
Fax
(336) 272-8098
NPI assigned
Apr 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Dr. Dave Erskine Foulkes, D.D.S.
Title
Dentist/Owner
Phone
(336) 272-8087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 7603 NC Primary

Addresses

Primary practice location

104 W Northwood St
Suite C
Greensboro, NC 27401-1326

Mailing address

104 W Northwood St
Suite C
Greensboro, NC 27401-1326
Phone (336) 272-8087

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1154564763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W NORTHWOOD ST",
            "address_2": "SUITE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011326",
            "telephone_number": "336-272-8087",
            "fax_number": "336-272-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W NORTHWOOD ST",
            "address_2": "SUITE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011326",
            "telephone_number": "336-272-8087",
            "fax_number": "336-272-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "FOULKES",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "ERSKINE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "336-272-8087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": "7603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.