NPIMap

Organization Active NPI

Betancourt, Pinnix, Phelps, & Grimes DMD PLLC

Doing business as Parkwood Dental

  • General Practice Dentistry
  • Elkin, NC
National Provider Identifier
1336473982
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7648 Issued in NC
Legal business name
BETANCOURT, PINNIX, PHELPS, & GRIMES DMD PLLC
Doing business as
Parkwood Dental
Practice address
400 Parkwood Medical Park
Elkin, NC 28621-2485
Phone
(336) 835-5579
Fax
(336) 835-2639
NPI assigned
Sep 30, 2009
Last updated
Sep 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Dr. Christopher Latham Phelps, DMDNPI 1396828380
Title
Copresident
Phone
(704) 845-1107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7648 NC Primary

Addresses

Primary practice location

400 Parkwood Medical Park
Elkin, NC 28621-2485

Mailing address

400 Parkwood Medical Park
Elkin, NC 28621-2485
Phone (336) 835-5579

Other names 1

  • Parkwood Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Betancourt Pinnix Phelps Grimes DMD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 835-5579

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1336473982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PARKWOOD MEDICAL PARK",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212485",
            "telephone_number": "336-835-5579",
            "fax_number": "336-835-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARKWOOD MEDICAL PARK",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212485",
            "telephone_number": "336-835-5579",
            "fax_number": "336-835-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETANCOURT, PINNIX, PHELPS, & GRIMES DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LATHAM",
        "authorized_official_title_or_position": "COPRESIDENT",
        "authorized_official_telephone_number": "704-845-1107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkwood Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.