Todd Richard Tibbs, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6475 Issued in NC

Practice address

1933 Jake Alexander Blvd W Ste 203
Salisbury, NC 28147-1156

Phone

(704) 633-1799

Fax

(704) 630-0301

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Todd R. Tibbs, D.D.S., P.a.

  • General Practice Dentistry
  • Salisbury, NC
  • NPI 1003827544
  NPD (past) Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235154691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 BADIN VIEW DR",
            "city": "NEW LONDON",
            "state": "NC",
            "postal_code": "281279156",
            "telephone_number": "336-461-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 JAKE ALEXANDER BLVD W STE 203",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471156",
            "telephone_number": "704-633-1799",
            "fax_number": "704-630-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBS",
        "first_name": "TODD",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Rose Thornton, PA-C
• Susan Williamson Thornton, APRN, FNP
• Latonya Renee Thorpe, LCAS
• Thrive Respite & Relief of Salisbury LLC
• Nice P Thriveni, M.D
• Tlcoaching LLC
• TMR Behavioral Solutions LLC
• Todd R. Tibbs, D.D.S., P.a.
• Debra Dietrich Todd
• Heather Ann Todd, MSW, MPH, LCSW

• General Practice Dentistry in Salisbury, NC
• Providers in Salisbury, 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 Jul 8, 2007; 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.