Organization Active NPI

Dipti Mathur DDS PLLC

  • Dental Clinic/Center
  • Raleigh, NC
National Provider Identifier
1194436352
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Dr. Dipti Chandra Mathur, DDSNPI 1215343223
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1215343223MedicaidNC

Other names 1

  • Middlecreek Family Dentistry Doing business as

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.

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.

Verify at the official NPI Registry.