Active NPI
Lindsay Anderson Statile, DDS
- Pediatric Dentistry
- Raleigh, NC
National Provider Identifier
1356652614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8982
- Practice address
- 3212 S Wilmington St
Raleigh, NC 27603-3538 - Phone
- (919) 773-3002
- Fax
- (919) 773-8824
- NPI assigned
- Jul 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8982 | NC | |
| Pediatric Dentistry | 1223P0221X | 8982 | NC | Primary |
Addresses
Primary practice location
3212 S Wilmington St
Raleigh, NC 27603-3538
Mailing address
8218 Saltwood PL
Raleigh, NC 27617-8707
Phone (252) 671-9249
Other names 1
- Dr. Lindsay Greer Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8982 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rafael Rivera, Jr., DDS, PLLC | General Practice | Past | Accepting new patients |
| Michael a Derose DDS PA | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Raleigh, NC
- NPI 1457389108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1356652614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8218 SALTWOOD PL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276178707",
"telephone_number": "252-671-9249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3212 S WILMINGTON ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276033538",
"telephone_number": "919-773-3002",
"fax_number": "919-773-8824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATILE",
"first_name": "LINDSAY",
"middle_name": "ANDERSON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-01",
"last_updated": "2017-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "8982",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "8982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "ANDERSON",
"middle_name": "GREER",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.