NPIMap

Organization Active NPI

Michael C. Farmer, DMD, PA

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1306252960
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8671 Issued in NC
Legal business name
MICHAEL C. FARMER, DMD, PA
Practice address
1308 The Plaza
Suite F
Charlotte, NC 28205
Phone
(704) 999-1717
Fax
(704) 839-2763
NPI assigned
Jul 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Dr. Michael C Farmer, DMDNPI 1427207448
Title
Owner
Phone
(704) 837-8480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8671 NC Primary

Addresses

Primary practice location

1308 The Plaza
Suite F
Charlotte, NC 28205

Mailing address

1308 The Plaza
Suite F
Charlotte, NC 28205
Phone (704) 999-1717

Other identifiers 1

IdentifierTypeStateIssuer
5911213MedicaidNC

Other names 1

  • Plaza Midwood Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1308 The Plaza
Apt F
Charlotte, NC 28205
Phone (704) 837-8480

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1306252960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 THE PLAZA",
            "address_2": "SUITE F",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28205",
            "telephone_number": "704-999-1717",
            "fax_number": "704-839-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 THE PLAZA",
            "address_2": "SUITE F",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28205",
            "telephone_number": "704-999-1717",
            "fax_number": "704-839-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C. FARMER, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-837-8480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911213",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Midwood Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.