Organization Active NPI

Bryan T Persinger DDS PLLC III

Doing business as Northcross Dental Care

  • General Practice Dentistry
  • Huntersville, NC
National Provider Identifier
1194536136
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRYAN T PERSINGER DDS PLLC III
Doing business as
Northcross Dental Care
Practice address
10011 Biddick LN Ste 140
Huntersville, NC 28078-8210
Phone
(704) 778-6757
NPI assigned
Jan 17, 2025
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BRYAN T PERSINGER DDS PLLC IIIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Tracie Persinger
Title
Cfo
Phone
(704) 778-6757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10011 Biddick LN Ste 140
Huntersville, NC 28078-8210

Mailing address

19628 Weavers Cir
Cornelius, NC 28031-7534
Phone (704) 778-6757

Other names 1

  • Northcross Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
Bryan T Persinger DDS PLLC III

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": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1194536136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19628 WEAVERS CIR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280317534",
            "telephone_number": "704-778-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 BIDDICK LN STE 140",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280788210",
            "telephone_number": "704-778-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN T PERSINGER DDS PLLC III",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRYAN T PERSINGER DDS PLLC III",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "PERSINGER",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-778-6757"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northcross Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.