NPIMap

Organization Active NPI

Brenton L Young DDS and Pauline E Cahill DDS PA

Doing business as Shelby Dental Care Center

  • General Practice Dentistry
  • Shelby, NC
National Provider Identifier
1164452132
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6658 Issued in NC
Legal business name
BRENTON L YOUNG DDS AND PAULINE E CAHILL DDS PA
Doing business as
Shelby Dental Care Center
Practice address
1429 N Lafayette St
Shelby, NC 28150-3406
Phone
(704) 482-7986
Fax
(704) 480-9301
NPI assigned
Jul 4, 2006
Last updated
Jul 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Dr. Pauline E Cahill, DDSNPI 1194755264
Title
Owner - President
Phone
(704) 482-7986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6658 NC Primary

Addresses

Primary practice location

1429 N Lafayette St
Shelby, NC 28150-3406

Mailing address

1429 N Lafayette St
Shelby, NC 28150-3406
Phone (704) 482-7986

Other identifiers 2

IdentifierTypeStateIssuer
0298HOtherNCBLUE CROSS BLUE SHIELD
890298HMedicaidNC

Other names 1

  • Shelby Dental Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

1429 N Lafayette St
Shelby, NC 28150
Phone (701) 448-2798

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1164452132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 N LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503406",
            "telephone_number": "704-482-7986",
            "fax_number": "704-480-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 N LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503406",
            "telephone_number": "704-482-7986",
            "fax_number": "704-480-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTON L YOUNG DDS AND PAULINE E CAHILL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "CAHILL",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER - PRESIDENT",
        "authorized_official_telephone_number": "704-482-7986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0298H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890298H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelby Dental Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.