Organization Active NPI

Thome & Zimmer DDS PLLC I

  • Pediatric Dentistry
  • Shelby, NC
National Provider Identifier
1174166359
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
THOME & ZIMMER DDS PLLC I
Practice address
221 Simpson Park Rd
Shelby, NC 28150-4299
Phone
(704) 484-3366
Fax
(704) 484-3441
NPI assigned
Oct 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Sonya Myrick
Title
Director of Credentialing & Payor R
Phone
(980) 390-2807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

221 Simpson Park Rd
Shelby, NC 28150-4299

Mailing address

221 Simpson Park Rd
Shelby, NC 28150-4299
Phone (704) 484-3366

Other names 1

  • Shelby Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1174166359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SIMPSON PARK RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504299",
            "telephone_number": "704-484-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SIMPSON PARK RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504299",
            "telephone_number": "704-484-3366",
            "fax_number": "704-484-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOME & ZIMMER DDS PLLC I",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "MYRICK",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING & PAYOR R",
        "authorized_official_telephone_number": "980-390-2807"
    },
    "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": "Shelby Pediatric Dentistry",
            "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 Feb 17, 2026; 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.