Active NPI
Fran Holler Twisdale, DENTIST
- General Practice Dentistry
- Raleigh, NC
National Provider Identifier
1164587135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3896
- Practice address
- 228 Carpathian Way
Raleigh, NC 27615 - Phone
- (919) 846-7038
- Fax
- (919) 518-1494
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- 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 | 3896 | NC | Primary |
Addresses
Primary practice location
228 Carpathian Way
Raleigh, NC 27615
Mailing address
100 North Tryon Street
Suite B 220 231
Charlotte, NC 28202
Phone (800) 945-9618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8990845 | 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 |
|---|---|---|---|
| 3896 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164587135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NORTH TRYON STREET",
"address_2": "SUITE B 220 231",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28202",
"telephone_number": "800-945-9618",
"fax_number": "770-271-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 CARPATHIAN WAY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27615",
"telephone_number": "919-846-7038",
"fax_number": "919-518-1494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWISDALE",
"first_name": "FRAN",
"middle_name": "HOLLER",
"name_prefix": "Dr.",
"credential": "DENTIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "3896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8990845",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.