Active NPI
Carl Augustus Furr III, DDS
- Dentist
- Wilson, NC
National Provider Identifier
1255348934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6519
- Practice address
- 1468 Tarboro St W
Wilson, NC 27893-1509 - Phone
- (252) 243-8448
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6519 | NC | Primary |
Addresses
Primary practice location
1468 Tarboro St W
Wilson, NC 27893-1509
Mailing address
510 Jefferson St
Raleigh, NC 27605-1223
Phone (919) 271-6658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151204001716 | NC | Order and Referring Only - Dentist | 4082914528 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6519 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1255348934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 JEFFERSON ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051223",
"telephone_number": "919-271-6658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1468 TARBORO ST W",
"city": "WILSON",
"state": "NC",
"postal_code": "278931509",
"telephone_number": "252-243-8448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FURR",
"first_name": "CARL",
"middle_name": "AUGUSTUS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "6519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
- Kenneth Ray Freeman II, MSW, LCSWA
- Samantha Renee Freeman
- Franklyn Jeremy Frias, DDS
- Brittany Wooten Fulghum, AGNP
- Fullers Home Health Care Inc
- Fve SE Wilson LLC (Parkwood Village)
- Zizette M Gabriel, MD
- Christopher Michael Gal, M.D.
- Lee Caitlin San Pedro Garcia
- Angela Katherine Gates Daquila, BSN, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.