Active NPI
John L. Cloninger, III, D.D.S., PLLC
- General Practice Dentistry
- Lincolnton, NC
National Provider Identifier
1285808469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JOHN L. CLONINGER, III, D.D.S., PLLC
- Practice address
- 904 Donita Dr
Lincolnton, NC 28092-3643 - Phone
- (704) 735-0765
- Fax
- (704) 735-4506
- NPI assigned
- Apr 17, 2008
- Last updated
- Apr 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John L Cloninger III, DDS, PLLC
- Title
- President
- Phone
- (704) 735-0765
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
904 Donita Dr
Lincolnton, NC 28092-3643
Mailing address
904 Donita Dr
Lincolnton, NC 28092-3643
Phone (704) 735-0765
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148930391 | Other | DELTA DENTAL | |
| 91684 | Other | BCBS | |
| 873537 | Other | UNITED CONCORDIA | |
| 8991684 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
904 Dontia Dr
Lincolnton, NC 28092
Phone (704) 735-0765
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Lincolnton, NC
- NPI 1356483739
-
- General Practice Dentistry
- Lincolnton, NC
- NPI 1316516891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713830400000",
"number": "1285808469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 DONITA DR",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280923643",
"telephone_number": "704-735-0765",
"fax_number": "704-735-4506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 DONITA DR",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280923643",
"telephone_number": "704-735-0765",
"fax_number": "704-735-4506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN L. CLONINGER, III, D.D.S., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-17",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A",
"authorized_official_last_name": "CLONINGER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-735-0765",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DDS, PLLC"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "148930391",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "91684",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "873537",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8991684",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.