Individual provider Active NPI

Tiffiney Tylaine Harper, D.D.S

  • General Practice Dentistry
  • Rocky Mount, NC
National Provider Identifier
1285648071
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7093 Issued in NC
Practice address
300 N Grace St Ste 200
Rocky Mount, NC 27804-5346
Phone
(252) 210-9873
Fax
(252) 316-8050
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7093 NC Primary

Addresses

Primary practice location

300 N Grace St Ste 200
Rocky Mount, NC 27804-5346

Mailing address

PO Box 2723
Rocky Mount, NC 27802-2723
Phone (252) 212-3486

Other practice location 1

301 N Herman St
Suite CC
Goldsboro, NC 27530-2973
Phone (919) 850-4050

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160304001273 NC Order and Referring Only - DentistPractitioner - Dentist 8426354283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Opportunities Industrialization Center, Inc CurrentSince Jan 21, 2022 Accepting new patients
New Hanover Community Health Center, Inc. General Practice Past Accepting new patients
New Hanover Community Health Center Incorporated Past Accepting new patients

Locations

300 N Grace St
Ste 200
Rocky Mount, NC 27804
Phone (252) 210-9873

Organizations & group practices 3

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1285648071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2723",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278022723",
            "telephone_number": "252-212-3486",
            "fax_number": "252-212-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N GRACE ST STE 200",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278045346",
            "telephone_number": "252-210-9873",
            "fax_number": "252-316-8050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 N Herman St",
            "address_2": "Suite CC",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275302973",
            "country_code": "US",
            "telephone_number": "919-850-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARPER",
        "first_name": "TIFFINEY",
        "middle_name": "TYLAINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.