NPIMap

Organization Active NPI

Matilda Dhima DMD,Ms PLLC

  • Prosthodontics
  • Garner, NC
National Provider Identifier
1184214934
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
MATILDA DHIMA DMD,MS PLLC
Practice address
5638 NC Highway 42 W Ste 111
Garner, NC 27529-7998
Phone
(984) 677-2020
NPI assigned
Jan 25, 2021
Last updated
Jan 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Dr. Matilda Dhima, DMD,MSNPI 1225266943
Title
Manager
Phone
(215) 459-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X
Prosthodontics 1223P0700X Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
Dental Hygienist 124Q00000X
Dental Assistant 126800000X

Addresses

Primary practice location

5638 NC Highway 42 W Ste 111
Garner, NC 27529-7998

Mailing address

2054 Kildaire Farm Rd # 425
Cary, NC 27518-6614
Phone (984) 677-2020

National Provider Directory

National Provider Directory

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": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1184214934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 KILDAIRE FARM RD # 425",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186614",
            "telephone_number": "984-677-2020",
            "fax_number": "984-677-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5638 NC HIGHWAY 42 W STE 111",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297998",
            "telephone_number": "984-677-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATILDA DHIMA DMD,MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "DHIMA",
        "authorized_official_first_name": "MATILDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-459-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.