NPIMap

Organization Active NPI

Angelita C. Le Cras, DDS, PA

  • Dentist
  • Troutman, NC
National Provider Identifier
1184659682
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7554 Issued in NC
Legal business name
ANGELITA C. LE CRAS, DDS, PA
Practice address
204 South Main Street
Troutman, NC 28166
Phone
(704) 528-5665
Fax
(704) 528-5670
NPI assigned
Jul 12, 2006
Last updated
Oct 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Dr. Angelita Cleofe Le Cras, DDSNPI 1851326359
Title
President
Phone
(704) 528-5665

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7554 NC Primary

Addresses

Primary practice location

204 South Main Street
Troutman, NC 28166

Mailing address

204 South Main Street
Troutman, NC 28166
Phone (704) 528-5665

National Provider Directory

National Provider Directory

Locations

204 S Main St
Troutman, NC 28166
Phone (704) 528-5665

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1184659682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SOUTH MAIN STREET",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "28166",
            "telephone_number": "704-528-5665",
            "fax_number": "704-528-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SOUTH MAIN STREET",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "28166",
            "telephone_number": "704-528-5665",
            "fax_number": "704-528-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELITA C. LE CRAS, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "LE CRAS",
        "authorized_official_first_name": "ANGELITA",
        "authorized_official_middle_name": "CLEOFE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-528-5665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troutman, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.