Organization Active NPI

John L. Cloninger, DDS. PA

  • General Practice Dentistry
  • Lincolnton, NC
National Provider Identifier
1235313065
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3135 Issued in NC
Legal business name
JOHN L. CLONINGER, DDS. PA
Practice address
640 S Magnolia St
Lincolnton, NC 28092-3736
Phone
(704) 732-3336
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Ms. Lucy H Houser
Title
Office Manager
Phone
(704) 732-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3135 NC Primary

Addresses

Primary practice location

640 S Magnolia St
Lincolnton, NC 28092-3736

Mailing address

640 S Magnolia St
Lincolnton, NC 28092-3736
Phone (704) 732-3336

Other identifiers 1

IdentifierTypeStateIssuer
8991675MedicaidNC

National Provider Directory

National Provider Directory

Locations

640 S Magnolia St
Lincolnton, NC 28092
Phone (704) 732-3336

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1235313065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S MAGNOLIA ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923736",
            "telephone_number": "704-732-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S MAGNOLIA ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923736",
            "telephone_number": "704-732-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. CLONINGER, DDS. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "HOUSER",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-732-3336",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8991675",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.