Active NPI
Karl Odbert Pierce Jr., DDS
- General Practice Dentistry
- Wilmington, NC
National Provider Identifier
1164401600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3301
- Practice address
- 1902 Glen Meade Rd
Wilmington, NC 28403 - Phone
- (910) 762-0991
- Fax
- (910) 762-4605
- NPI assigned
- Jan 12, 2006
- 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 | 3301 | NC | Primary |
Addresses
Primary practice location
1902 Glen Meade Rd
Wilmington, NC 28403
Mailing address
1902 Glen Meade Rd
Wilmington, NC 28403
Phone (910) 762-0991
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 556927 | Other | UNITED CONCORDIA | |
| 561228604 | Other | DELTA | |
| 96873 | Other | NC | BCBS |
| 8996873 | Medicaid | NC |
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 |
|---|---|---|---|
| 3301 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E. Hunter Pierce DMD PA | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Wilmington, NC
- NPI 1801117759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1164401600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 GLEN MEADE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28403",
"telephone_number": "910-762-0991",
"fax_number": "910-762-4605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 GLEN MEADE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28403",
"telephone_number": "910-762-0991",
"fax_number": "910-762-4605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "KARL",
"middle_name": "ODBERT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "3301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "556927",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA",
"identifier": "561228604",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "96873",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8996873",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.