NPIMap

Organization Active NPI

Sudderth and Whitaker DDS, PA

  • General Practice Dentistry
  • Morganton, NC
National Provider Identifier
1205092996
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7819 Issued in NC
Legal business name
SUDDERTH AND WHITAKER DDS, PA
Practice address
300 Sanford Dr
Morganton, NC 28655-2573
Phone
(828) 433-1600
NPI assigned
Aug 1, 2008
Last updated
Aug 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Natalie WhitakerNPI 1942412515
Title
Vice President
Phone
(828) 433-1600

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
General Practice Dentistry 1223G0001X 7819 NC Primary

Addresses

Primary practice location

300 Sanford Dr
Morganton, NC 28655-2573

Mailing address

PO Box 1249
Morganton, NC 28680-1249

Other identifiers 1

IdentifierTypeStateIssuer
8998195MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1205092996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1249",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286801249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SANFORD DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286552573",
            "telephone_number": "828-433-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDDERTH AND WHITAKER DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "828-433-1600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8998195",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.