NPIMap

Organization Active NPI

United Health Centers

  • General Practice Dentistry
  • Winston Salem, NC
National Provider Identifier
1285120816
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UNITED HEALTH CENTERS
Practice address
2101 Peters Creek Pkwy Ste 16-19
Winston Salem, NC 27127-3726
Phone
(336) 955-1379
Fax
(336) 893-9987
NPI assigned
Jul 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Roderic Brown
Title
Ceo
Phone
(336) 955-1379

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X

Addresses

Primary practice location

2101 Peters Creek Pkwy Ste 16-19
Winston Salem, NC 27127-3726

Mailing address

2101 Peters Creek Pkwy Ste 16-19
Winston Salem, NC 27127-3726
Phone (336) 955-1379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151019000317 NC Part B Supplier - Clinic/Group Practice 0941459457 Receives reassigned benefits from 23 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winston Salem, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Southside United Health Centers6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3009 Waughtown St
#A
Winston Salem, NC 27107
Phone (336) 686-0680

3009 Waughtown St
Winston Salem, NC 27107
Phone (336) 293-8728

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIBJAD

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1285120816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 PETERS CREEK PKWY STE 16-19",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271273726",
            "telephone_number": "336-955-1379",
            "fax_number": "336-893-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PETERS CREEK PKWY STE 16-19",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271273726",
            "telephone_number": "336-955-1379",
            "fax_number": "336-893-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RODERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-955-1379"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.