Active NPI
Brinkley & Associates, PA
- Dentist
- Taylorsville, NC
National Provider Identifier
1386957397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7412
- Legal business name
- BRINKLEY & ASSOCIATES, PA
- Practice address
- 556 NC Highway 16 S
Taylorsville, NC 28681-9986 - Phone
- (828) 640-0457
- NPI assigned
- Jul 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jack T. Brinkley III, DMD
- Title
- Owner Dentist
- Phone
- (828) 640-0457
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7412 | NC | Primary |
Addresses
Primary practice location
556 NC Highway 16 S
Taylorsville, NC 28681-9986
Mailing address
556 NC Highway 16 S
Taylorsville, NC 28681-9986
Phone (828) 640-0457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5914881 | Medicaid | NC |
Other names 1
- Carolina Dental Care Center
National Provider Directory
National Provider Directory- Tax ID family
- Brinkley Associates PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Taylorsville, NC
- NPI 1356790745
Locations
556 NC Highway 16 S
Taylorsville, NC 28681
Phone (828) 635-8510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370476800000",
"number": "1386957397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "556 NC HIGHWAY 16 S",
"city": "TAYLORSVILLE",
"state": "NC",
"postal_code": "286819986",
"telephone_number": "828-640-0457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "556 NC HIGHWAY 16 S",
"city": "TAYLORSVILLE",
"state": "NC",
"postal_code": "286819986",
"telephone_number": "828-640-0457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRINKLEY & ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-19",
"last_updated": "2013-06-06",
"status": "A",
"authorized_official_last_name": "BRINKLEY",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "828-640-0457",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "7412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5914881",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolina Dental Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Taylorsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.