NPIMap

Organization Active NPI

K. Jasinski, D.M.D., P.C.

Doing business as Dental Care at Meadow Ridge

  • General Practice Dentistry
  • Waxhaw, NC
National Provider Identifier
1275396384
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
K. JASINSKI, D.M.D., P.C.
Doing business as
Dental Care at Meadow Ridge
Practice address
1610 Providence Rd S Ste 102
Waxhaw, NC 28173-8314
Phone
(980) 489-1017
Fax
(980) 489-1016
NPI assigned
Feb 1, 2024
Last updated
Oct 4, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
K. JASINSKI, D.M.D., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Hillary Thull
Title
Credentialing Coordinator
Phone
(217) 540-8946

Specialties & licenses 1

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

Addresses

Primary practice location

1610 Providence Rd S Ste 102
Waxhaw, NC 28173-8314

Mailing address

1610 Providence Rd S Ste 102
Waxhaw, NC 28173-8314

Other names 1

  • Dental Care at Meadow Ridge Doing business as

National Provider Directory

National Provider Directory
Tax ID family
K Jasinski DMD PC82 organizations share this tax ID, including this one
Part of
K Jasinski DMD PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1610 S Providence Rd
#102
Waxhaw, NC 28173
Phone (980) 489-1017

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1275396384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 PROVIDENCE RD S STE 102",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281738314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 PROVIDENCE RD S STE 102",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281738314",
            "telephone_number": "980-489-1017",
            "fax_number": "980-489-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. JASINSKI, D.M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "K. JASINSKI, D.M.D., P.C.",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "THULL",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8946"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care at Meadow Ridge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Care at Meadow Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.