NPIMap

Organization Active NPI

Cynthia N. Elderkin, D.D.S., P.a.

  • Dentist
  • Raleigh, NC
National Provider Identifier
1376747469
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5662 Issued in NC
Legal business name
CYNTHIA N. ELDERKIN, D.D.S., P.A.
Practice address
8015 Creedmoor Rd
Suite 202
Raleigh, NC 27613-4397
Phone
(919) 847-8747
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Dr. Cynthia Nichols Elderkin, D.D.S.NPI 1205955887
Title
Owner, President
Phone
(919) 847-8747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5662 NC Primary

Addresses

Primary practice location

8015 Creedmoor Rd
Suite 202
Raleigh, NC 27613-4397

Mailing address

8015 Creedmoor Rd
Suite 202
Raleigh, NC 27613-4397
Phone (919) 847-8747

National Provider Directory

National Provider Directory

Locations

8015 Creedmoor Rd
Ste 202
Raleigh, NC 27613
Phone (919) 847-8747

Practitioners & affiliated clinicians

Practitioners 3

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": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1376747469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 CREEDMOOR RD",
            "address_2": "SUITE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134397",
            "telephone_number": "919-847-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 CREEDMOOR RD",
            "address_2": "SUITE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134397",
            "telephone_number": "919-847-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA N. ELDERKIN, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "ELDERKIN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "NICHOLS",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "919-847-8747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "5662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 8, 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.