Individual provider Active NPI

Karina Julia Dick, DDS

  • Endodontics
  • Elizabeth City, NC
National Provider Identifier
1174594543
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
019-023980 Issued in IL
Practice address
408 E Colonial Ave
Elizabeth City, NC 27909-4363
Phone
(252) 335-4341
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 9974 NC
Endodontics 1223E0200X 019-023980 IL Primary

Addresses

Primary practice location

408 E Colonial Ave
Elizabeth City, NC 27909-4363

Mailing address

1161 N Road St
Elizabeth City, NC 27909-3388
Phone (252) 331-7225

Other practice location 1

1161 N Road St
Elizabeth City, NC 27909-3388
Phone (252) 331-7225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210315002016 NC Practitioner - Dentist 7012323140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-023980ILMDEndodontist
9974NCMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University CurrentSince Dec 2, 2020 Accepting new patients
East Carolina University Current Accepting new patients
East Carolina University CurrentSince Dec 2, 2020 Accepting new patients

Locations

1161 N Road St
Elizabeth City, NC 27909
Phone (252) 331-7225

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1174594543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093388",
            "telephone_number": "252-331-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E COLONIAL AVE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094363",
            "telephone_number": "252-335-4341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1161 N Road St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279093388",
            "country_code": "US",
            "telephone_number": "252-331-7225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICK",
        "first_name": "KARINA",
        "middle_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "9974",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "019-023980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.