NPIMap

Organization Active NPI

Hamilton, Clark, Otero & Associates

Doing business as Port City Dental Center

  • General Practice Dentistry
  • Wilmington, NC
National Provider Identifier
1407150063
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8843 Issued in NC
Legal business name
HAMILTON, CLARK, OTERO & ASSOCIATES
Doing business as
Port City Dental Center
Practice address
4622 Oleander Dr
Wilmington, NC 28403-5149
Phone
(910) 399-1127
Fax
(910) 399-3479
NPI assigned
Dec 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Dr. Tristan William Hamilton, MARCH., DDS
Title
Part Owner/DDS
Phone
(910) 399-1127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8843 NC Primary

Addresses

Primary practice location

4622 Oleander Dr
Wilmington, NC 28403-5149

Mailing address

4622 Oleander Dr
Wilmington, NC 28403-5149
Phone (910) 399-1127

Other names 1

  • Port City Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hamilton Clark Otero and Associates2 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.

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1407150063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035149",
            "telephone_number": "910-399-1127",
            "fax_number": "910-399-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035149",
            "telephone_number": "910-399-1127",
            "fax_number": "910-399-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON, CLARK, OTERO & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PART OWNER/DDS",
        "authorized_official_telephone_number": "910-399-1127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MARCH., DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port City Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.