Organization Active NPI

Jose Cangas DDS PLLC

  • Pediatric Dentistry
  • Southern Pines, NC
National Provider Identifier
1417364605
Registry record updated Jul 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9374 Issued in NC
Legal business name
JOSE CANGAS DDS PLLC
Practice address
10564 S US Highway 15 501 Ste E
Southern Pines, NC 28387-5166
Phone
(214) 830-9332
NPI assigned
Jul 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2014

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

Authorized official

Name
Dr. Jose Alberto Cangas, DDS
Title
Owner
Phone
(214) 830-9332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 9374 NC Primary

Addresses

Primary practice location

10564 S US Highway 15 501 Ste E
Southern Pines, NC 28387-5166

Mailing address

10564 S US Highway 15 501 Ste E
Southern Pines, NC 28387-5166
Phone (214) 830-9332

Other names 1

  • Dental Derby Doing business as

National Provider Directory

National Provider Directory

Locations

10564 S US Highway 15 501
Ste E
Southern Pines, NC 28387
Phone (214) 830-9332

NPI Registry JSON

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

{
    "created_epoch": "1405728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405728000000",
    "number": "1417364605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10564 S US HIGHWAY 15 501 STE E",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875166",
            "telephone_number": "214-830-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10564 S US HIGHWAY 15 501 STE E",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875166",
            "telephone_number": "214-830-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE CANGAS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-19",
        "last_updated": "2014-07-19",
        "status": "A",
        "authorized_official_last_name": "CANGAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-830-9332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "9374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Derby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.