Organization Active NPI

Brinkley & Associates, PA

  • Dentist
  • Taylorsville, NC
National Provider Identifier
1386957397
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7412 Issued in NC
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

Updated by the provider on Jun 6, 2013

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5914881MedicaidNC

Other names 1

  • Carolina Dental Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brinkley Associates PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.