Disdier & Associates, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6975 Issued in NC

Legal business name

DISDIER & ASSOCIATES, PA

Doing business as

immediate dental care

Practice address

1001B Hardee Rd
Kinston, NC 28504-3323

Phone

(252) 939-1400

NPI assigned

Feb 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Disdier

Title

Dentist

Phone

(252) 939-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• immediate dental care Doing business as

Tax ID family

Disdier Associates PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Disdier & Associates,PA

  • General Practice Dentistry
  • Goldsboro, NC
  • NPI 1669514576
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194867002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001B HARDEE RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285043323",
            "telephone_number": "252-939-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001B HARDEE RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285043323",
            "telephone_number": "252-939-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISDIER & ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DISDIER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "252-939-1400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903565",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "immediate dental care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Richa Dhungana, RN
• Robert T Dickson, MD
• Dixon Social Interactive Services, Inc.
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• Patricia Ann Dodd, D.C.
• Dontiff LLC
• James Dooling

• General Practice Dentistry in Kinston, NC
• Providers in Kinston, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.