Individual provider Active NPI

Britta Lee Lundgren, D.M.D.

  • Dentist
  • Wilmington, NC
National Provider Identifier
1285067249
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8273 Issued in SC
Practice address
1427 Military Cutoff Rd Ste 105
Wilmington, NC 28403-3692
Phone
(910) 233-4236
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10585 NC
Dentist 122300000X 8273 SC Primary

Addresses

Primary practice location

1427 Military Cutoff Rd Ste 105
Wilmington, NC 28403-3692

Mailing address

1427 Military Cutoff Rd Ste 105
Wilmington, NC 28403-3692
Phone (910) 233-4236

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

State licenses

LicenseStateTypeSpecialty
8273SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Britta L Lundgren PLLC CurrentSince Jan 19, 2025 Accepting new patients
Michael Jimenez DDS LLC General Practice PastSince Jul 25, 2019 Accepting new patients

Locations

1427 Military Cutoff Rd
Ste 105
Wilmington, NC 28403
Phone (910) 233-4236

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1285067249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 MILITARY CUTOFF RD STE 105",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033692",
            "telephone_number": "910-233-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 MILITARY CUTOFF RD STE 105",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033692",
            "telephone_number": "910-233-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "BRITTA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10585",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.