Active NPI
T. Gordon Handy Jr., DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Winston Salem, NC
National Provider Identifier
1265569925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 6568
- Practice address
- 1700 S Hawthorne Rd
Winston Salem, NC 27103-4016 - Phone
- (336) 765-7870
- Fax
- (336) 765-3830
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 6568 | NC | Primary |
Addresses
Primary practice location
1700 S Hawthorne Rd
Winston Salem, NC 27103-4016
Mailing address
1700 S Hawthorne Rd
Winston Salem, NC 27103-4016
Phone (336) 765-7870
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8993543 | Medicaid | NC | |
| 152021 | Other | PA | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T. Gordon Handy DDS P.a. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Thomas G. Handy, D.D.S., PA | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Winston Salem, NC
- NPI 1720231822
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Winston Salem, NC
- NPI 1528212495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1265569925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 S HAWTHORNE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034016",
"telephone_number": "336-765-7870",
"fax_number": "336-765-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S HAWTHORNE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034016",
"telephone_number": "336-765-7870",
"fax_number": "336-765-3830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDY",
"first_name": "T.",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NC",
"license": "6568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8993543",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "152021",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.