NPIMap

Organization Active NPI

New Hanover County

  • Dentist
  • Wilmington, NC
National Provider Identifier
1164720447
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
260065 Issued in NC
Legal business name
NEW HANOVER COUNTY
Practice address
2029 S 17TH St
Wilmington, NC 28401-6600
Phone
(910) 798-6500
NPI assigned
Mar 10, 2011
Organization subpart
Yes
Parent organization
NEW HANOVER COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
David E Rice
Title
Health Director
Phone
(910) 798-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 260065 NC Primary

Addresses

Primary practice location

2029 S 17TH St
Wilmington, NC 28401-6600

Mailing address

2029 S 17TH St
Wilmington, NC 28401-6600
Phone (910) 798-6500

Other identifiers 2

IdentifierTypeStateIssuer
3404365MedicaidNC
0726VOtherBLUE CROSS BLUE SHIELD

Other names 1

  • New Hanover County Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New Hanover County10 organizations share this tax ID, including this one
Part of
New Hanover County

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1164720447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016600",
            "telephone_number": "910-798-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016600",
            "telephone_number": "910-798-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HANOVER COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW HANOVER COUNTY",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "910-798-6500"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "260065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404365",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0726V",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Hanover County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 10, 2011; 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.