Organization Active NPI

Falls Family Dental

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1417354796
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5927 Issued in NC
Legal business name
FALLS FAMILY DENTAL
Practice address
10450 Durant Rd
Suite 102
Raleigh, NC 27614-6498
Phone
(919) 659-0015
Fax
(919) 703-0563
NPI assigned
Dec 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Sandra K Thore, DMD
Title
Owner
Phone
(919) 659-0015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5927 NC Primary

Addresses

Primary practice location

10450 Durant Rd
Suite 102
Raleigh, NC 27614-6498

Mailing address

10450 Durant Rd
Suite 102
Raleigh, NC 27614-6498
Phone (919) 659-0015

National Provider Directory

National Provider Directory

Locations

10450 Durant Rd
Ste 102
Raleigh, NC 27614
Phone (919) 659-0015

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1417354796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 DURANT RD",
            "address_2": "SUITE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146498",
            "telephone_number": "919-659-0015",
            "fax_number": "919-703-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 DURANT RD",
            "address_2": "SUITE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146498",
            "telephone_number": "919-659-0015",
            "fax_number": "919-703-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "THORE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-659-0015",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.