Organization Active NPI

John F. Renfro, DDS, PA

  • General Practice Dentistry
  • Burnsville, NC
National Provider Identifier
1396071197
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4527 Issued in NC
Legal business name
JOHN F. RENFRO, DDS, PA
Practice address
534 E US Highway 19 E Byp
Burnsville, NC 28714-7202
Phone
(828) 682-2313
NPI assigned
Oct 29, 2009
Last updated
Oct 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Authorized official

Name
Lorraine Whitson
Title
Insurance
Phone
(828) 682-2313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4527 NC Primary

Addresses

Primary practice location

534 E US Highway 19 E Byp
Burnsville, NC 28714-7202

Mailing address

PO Box 398
Burnsville, NC 28714-0398

Other identifiers 1

IdentifierTypeStateIssuer
8997337MedicaidNC

National Provider Directory

National Provider Directory

Locations

534 E US Highway 19 E Byp
Burnsville, NC 28714
Phone (828) 682-2313

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1396071197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287140398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 E US HIGHWAY 19 E BYP",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287147202",
            "telephone_number": "828-682-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. RENFRO, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "WHITSON",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "828-682-2313"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997337",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.