NPIMap

Organization Active NPI

Desiree T. Palmer, DMD, PA

  • Dentist
  • Durham, NC
National Provider Identifier
1437528577
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5320 Issued in NC
Legal business name
DESIREE T. PALMER, DMD, PA
Practice address
106 W Parrish St
Suite 1
Durham, NC 27701-3369
Phone
(919) 680-3531
NPI assigned
Sep 18, 2015
Organization subpart
Yes
Parent organization
DESIREE T. PALMER, DMD, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Dr. Desiree Twitty Plamer, DMD
Title
Owner
Phone
(919) 471-9106

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 5320 NC Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 8952 NC
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 8281 NC

Addresses

Primary practice location

106 W Parrish St
Suite 1
Durham, NC 27701-3369

Mailing address

105 Newsom Street
Suite 204
Durham,, NC 27704
Phone (919) 471-9106

Other names 1

  • Bull City Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Desiree T Palmer DMD PA2 organizations share this tax ID, including this one
Part of
Desiree T Palmer DMD PA

Other organizations with this tax ID 1

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

Locations

105 Newsom St
Ste 204
Durham, NC 27704
Phone (919) 471-9106

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1437528577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NEWSOM STREET",
            "address_2": "SUITE 204",
            "city": "DURHAM,",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-471-9106",
            "fax_number": "919-477-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W PARRISH ST",
            "address_2": "SUITE 1",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013369",
            "telephone_number": "919-680-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIREE T. PALMER, DMD, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESIREE T. PALMER, DMD, PA",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "PLAMER",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "TWITTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-471-9106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "5320",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8952",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bull City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.