David E Thome DDS PLLC Xiii

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DAVID E THOME DDS PLLC XIII

Practice address

9055 Cresswind Blvd
Suite 104
Charlotte, NC 28227

Phone

(980) 729-5200

NPI assigned

May 12, 2021

Organization subpart

No

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

Authorized official

Name

David Eugene Thome, DDS

Title

Owner/Dentist

Phone

(980) 729-5200

Specialties & licenses 1

Addresses

Other names 1

• Mint Hill Pediatric Dentistry Doing business as

Tax ID family

David E Thome DDS PLLC Xiii2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• David E Thome DDS PLLC Xiii

  • Pediatric Dentistry
  • Charlotte, NC
  • NPI 1952049207
  NPD tax ID

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1154905313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 CLIFF CAMERON DR STE 170",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698508",
            "telephone_number": "980-729-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 CRESSWIND BLVD",
            "address_2": "SUITE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28227",
            "telephone_number": "980-729-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E THOME DDS PLLC XIII",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "THOME",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "980-729-5200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Hill Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David E Thome DDS PLLC I
• David E Thome DDS PLLC L1
• David E Thome DDS PLLC L1
• David E Thome DDS PLLC XI
• David E Thome DDS PLLC XI
• David E Thome DDS PLLC Xiii
• David E Thome DDS PLLC Xiv
• David E. Shanks, PA
• David H. Moore DDS, Ms, PA
• David H. Moore, DDS,Ms,PA

• Pediatric Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.