Organization Active NPI

Dr. Beth Grooms, DDS, PA

  • Dentist
  • Durham, NC
National Provider Identifier
1376720706
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7097 Issued in NC
Legal business name
DR. BETH GROOMS, DDS, PA
Practice address
1212 Broad St
Durham, NC 27705-3572
Phone
(919) 286-4439
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Beth Grooms
Title
Owner
Phone
(919) 942-7037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7097 NC Primary

Addresses

Primary practice location

1212 Broad St
Durham, NC 27705-3572

Mailing address

1212 Broad St
Durham, NC 27705-3572

National Provider Directory

National Provider Directory

Locations

1212 Broad St
Durham, NC 27705
Phone (919) 286-0779

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": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1376720706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053572",
            "telephone_number": "919-286-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BETH GROOMS, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "GROOMS",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-942-7037"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.