Active NPI
Eugene Adei, DMD
- Dentist
- Fayetteville, NC
National Provider Identifier
1194459255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12907
- Practice address
- 850 Sumner Dr Apt 16
Fayetteville, NC 28303-5566 - Phone
- (347) 376-1675
- NPI assigned
- Jul 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12907 | NC | |
| Dentist | 122300000X | 12907 | NC | Primary |
Addresses
Primary practice location
850 Sumner Dr Apt 16
Fayetteville, NC 28303-5566
Mailing address
850 Sumner Dr Apt 16
Fayetteville, NC 28303-5566
Phone (347) 376-1675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12907 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1194459255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 SUMNER DR APT 16",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035566",
"telephone_number": "347-376-1675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 SUMNER DR APT 16",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035566",
"telephone_number": "347-376-1675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEI",
"first_name": "EUGENE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-14",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "12907",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "12907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.