Cherryville Dental Clinic

Primary specialty

DentistTaxonomy code 122300000X

License

7118 Issued in NC

Legal business name

CHERRYVILLE DENTAL CLINIC

Practice address

106 N Mountain St
Cherryville, NC 28021-2941

Phone

(704) 435-6916

Fax

(704) 435-6811

NPI assigned

Dec 21, 2007

Last updated

Sep 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Hunter Cloninger, DDSNPI 1669567194

Title

Owner

Phone

(704) 435-6916

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Paul Hunter Cloninger, DDS PA

  • General Practice Dentistry
  • Cherryville, NC
  • NPI 1669567194
  NPD (past) Authorized official
• Connie Lutz Godwin, DMD

  • Dentist
  • Cherryville, NC
  • NPI 1750068409
  NPD (past)
• Christopher J Ramke, DMD

  • General Practice Dentistry
  • Lincolnton, NC
  • NPI 1134612302
  NPD (past)

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1386828614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E CHURCH ST",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280212916",
            "telephone_number": "704-435-6916",
            "fax_number": "704-435-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N MOUNTAIN ST",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280212941",
            "telephone_number": "704-435-6916",
            "fax_number": "704-435-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRYVILLE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "CLONINGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-435-6916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899013A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caromont Medical Group Inc (CaroMont Family Medicine)
• Caromont Medical Group Inc (CaroMont Urgent Care)
• CCJ Adult Care IV LLC (Walden Pond Care Home)
• Century Care of Cherryville, Inc
• Priya Chandrasekaran
• Cherryville Primary Care
• Cherryville Primary Care
• Vellessia Annette Church, PTA
• Cleco Primary Care Network (Cherryville Family Care)
• Paul Hunter Cloninger, DDS PA

• Dentist in Cherryville, NC
• Providers in Cherryville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.