Active NPI
Dipti Mathur DDS PLLC
- Dental Clinic/Center
- Raleigh, NC
National Provider Identifier
1194436352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DIPTI MATHUR DDS PLLC
- Practice address
- 7283 NC Highway 42 Ste 101
Raleigh, NC 27603-7530 - Phone
- (919) 424-7203
- NPI assigned
- Dec 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dipti Chandra Mathur, DDS
- Title
- Dentist
- Phone
- (412) 605-4841
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
7283 NC Highway 42 Ste 101
Raleigh, NC 27603-7530
Mailing address
1708 Walden Meadow Dr
Apex, NC 27523-4823
Phone (412) 605-4841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215343223 | Medicaid | NC |
Other names 1
- Middlecreek Family Dentistry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Greenville, NC
- NPI 1215343223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670976000000",
"number": "1194436352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 WALDEN MEADOW DR",
"city": "APEX",
"state": "NC",
"postal_code": "275234823",
"telephone_number": "412-605-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7283 NC HIGHWAY 42 STE 101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276037530",
"telephone_number": "919-424-7203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIPTI MATHUR DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-08",
"last_updated": "2022-12-14",
"certification_date": "2022-12-09",
"status": "A",
"authorized_official_last_name": "MATHUR",
"authorized_official_first_name": "DIPTI",
"authorized_official_middle_name": "CHANDRA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "412-605-4841",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215343223",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Middlecreek Family Dentistry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Middlecreek Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.