David G Polhemus, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5779 Issued in NC

Practice address

8001 Creedmoor Rd Ste 211
Raleigh, NC 27613-5692

Phone

(919) 870-7104

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1316164387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 CREEDMOOR RD STE 211",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135692",
            "telephone_number": "919-870-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 CREEDMOOR RD STE 211",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135692",
            "telephone_number": "919-870-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLHEMUS",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "97024",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakin N Poje, BSN, RN
• Georgina Polanco Castillo, MD
• Polaris Psychological Health Counseling and Consulting Services PLLC
• Vijaya N Polavaram, MD
• Naveena Polavarapu
• Corinne M. Policari, P.T.
• Polite Senior Home Care LLC (Polite Senior Home Care)
• Shariyfa Aziyza Polite, LCSW
• Laura Catherine Politte, MD
• Kimberly A Polk, LPT

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.