NPIMap

Organization Active NPI

Tarheel Family Dentistry

  • Dentist
  • Chapel Hill, NC
National Provider Identifier
1386954600
Registry record updated Sep 4, 2013
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7783 Issued in NC
Legal business name
TARHEEL FAMILY DENTISTRY
Practice address
109 Conner Dr Ste 2100
Chapel Hill, NC 27514-7041
Phone
(919) 442-1670
Fax
(919) 442-1675
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Dr. William Jae Lee, DDS
Title
Owner
Phone
(919) 442-1670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7783 NC Primary

Addresses

Primary practice location

109 Conner Dr Ste 2100
Chapel Hill, NC 27514-7041

Mailing address

109 Conner Dr Ste 2100
Chapel Hill, NC 27514-7041
Phone (919) 442-1670

Other identifiers 1

IdentifierTypeStateIssuer
5917217MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1386954600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CONNER DR STE 2100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147041",
            "telephone_number": "919-442-1670",
            "fax_number": "919-442-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CONNER DR STE 2100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147041",
            "telephone_number": "919-442-1670",
            "fax_number": "919-442-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARHEEL FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-442-1670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917217",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.