Active NPI
Tiffiney Tylaine Harper, D.D.S
- General Practice Dentistry
- Rocky Mount, NC
National Provider Identifier
1285648071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7093
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160304001273 | NC | Order and Referring Only - Dentist | 8426354283 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opportunities Industrialization Center, Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Rocky Mount, NC
- NPI 1962898296
-
- Federally Qualified Health Center (FQHC)
- Wilmington, NC
- NPI 1912954090
-
- General Practice Dentistry
- Wilmington, NC
- NPI 1851507214
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.