Nicholas Jeffrey Eilertson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12963 Issued in NC

Practice address

7228 Moncure Pittsboro Rd
Moncure, NC 27559-9595

Phone

(919) 542-1641

NPI assigned

Jul 1, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1275845505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LLOYD ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101823",
            "telephone_number": "919-942-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7228 MONCURE PITTSBORO RD",
            "city": "MONCURE",
            "state": "NC",
            "postal_code": "275599595",
            "telephone_number": "919-542-1641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 Main St",
            "address_purpose": "LOCATION",
            "city": "Prospect Hill",
            "state": "NC",
            "postal_code": "273149438",
            "country_code": "US",
            "telephone_number": "919-942-8741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1214 Vaughn Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272172863",
            "country_code": "US",
            "telephone_number": "336-506-5878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Lloyd St",
            "address_purpose": "LOCATION",
            "city": "Carrboro",
            "state": "NC",
            "postal_code": "275101823",
            "country_code": "US",
            "telephone_number": "919-942-8741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EILERTSON",
        "first_name": "NICHOLAS",
        "middle_name": "JEFFREY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08741",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Crawford, DMD
• Savannah Noel Crites, M.D.
• Katharine Phoebe Cioffi Delgado, MD
• Elizabeth Strickland Desmond, PA-C
• Joan E East, M.D.
• Melissa D. Gilmer-Scott, MD
• Mary Holmes, FNP
• Sharon Rosser Hutchens, PHARM. D.
• Zoe Elizabeth Jennings
• Elizabeth Kearney, PHARMD

• Dentist in Moncure, NC
• Providers in Moncure, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.

Verify at the official NPI Registry.