NPIMap

Organization Active NPI

Carl R Kriebel, DMD, PA

  • Dentist
  • Jacksonville, NC
National Provider Identifier
1457532368
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8078 Issued in NC
Legal business name
CARL R KRIEBEL, DMD, PA
Practice address
3847 Henderson Dr
Jacksonville, NC 28546-5228
Phone
(910) 219-4400
Fax
(910) 346-7292
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Dr. Carl R Kriebel Jr., D.M.D.NPI 1891855060
Title
Owner
Phone
(910) 219-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8078 NC Primary

Addresses

Primary practice location

3847 Henderson Dr
Jacksonville, NC 28546-5228

Mailing address

3847 Henderson Dr
Jacksonville, NC 28546-5228
Phone (910) 219-4400

Other names 1

  • Absolutely Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3847 Henderson Dr
Jacksonville, NC 28546
Phone (910) 219-4400

Practitioners & affiliated clinicians

Practitioners 6

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": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1457532368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3847 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465228",
            "telephone_number": "910-219-4400",
            "fax_number": "910-346-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3847 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465228",
            "telephone_number": "910-219-4400",
            "fax_number": "910-346-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL R KRIEBEL, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "KRIEBEL",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-219-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolutely Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.