Organization Active NPI

Tera Nix, DDS, P.a.

  • General Practice Dentistry
  • Fayetteville, NC
National Provider Identifier
1326870239
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TERA NIX, DDS, P.A.
Practice address
3055 Sanderosa Rd
Fayetteville, NC 28312-9109
Phone
(910) 438-9301
NPI assigned
Aug 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Tera Nix, DDS
Title
Owner
Phone
(910) 438-9301

Specialties & licenses 1

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

Addresses

Primary practice location

3055 Sanderosa Rd
Fayetteville, NC 28312-9109

Mailing address

3055 Sanderosa Rd
Fayetteville, NC 28312-9109
Phone (910) 438-9301

Other names 1

  • Affordable Dentures & Implants- Fayetteville Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1326870239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 SANDEROSA RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283129109",
            "telephone_number": "910-438-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 SANDEROSA RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283129109",
            "telephone_number": "910-438-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERA NIX, DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "TERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-438-9301",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants- Fayetteville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.