NPIMap

Organization Active NPI

Chauncy F. Nelson DDS, PA II

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Raeford, NC
National Provider Identifier
1346916749
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CHAUNCY F. NELSON DDS, PA II
Practice address
301 Birch St
Raeford, NC 28376-3298
Phone
(910) 878-5796
NPI assigned
Aug 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Tasha M Mangum
Title
Office Manager
Phone
(919) 845-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

301 Birch St
Raeford, NC 28376-3298

Mailing address

301 Birch St
Raeford, NC 28376-3298
Phone (910) 878-5796

Other names 1

  • Nelson Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chauncy F Nelson DDS PA2 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

301 Birch St
Raeford, NC 28376
Phone (910) 878-5796

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": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1346916749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BIRCH ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763298",
            "telephone_number": "910-878-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BIRCH ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763298",
            "telephone_number": "910-878-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUNCY F. NELSON DDS, PA II",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "MANGUM",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-845-2900"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.