NPIMap

Organization Active NPI

Joseph N. Catlett, Jr., D.D.S., P.a.

  • General Practice Dentistry
  • Fayetteville, NC
National Provider Identifier
1457552259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6019 Issued in NC
Legal business name
JOSEPH N. CATLETT, JR., D.D.S., P.A.
Practice address
2500 Village Dr
Suite 101
Fayetteville, NC 28304-3811
Phone
(910) 487-0807
Fax
(910) 487-0389
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph N. Catlett Jr., D.D.S.NPI 1427138288
Title
President
Phone
(910) 487-0807

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6019 NC Primary

Addresses

Primary practice location

2500 Village Dr
Suite 101
Fayetteville, NC 28304-3811

Mailing address

2500 Village Dr
Suite 101
Fayetteville, NC 28304-3811
Phone (910) 487-0807

Other identifiers 1

IdentifierTypeStateIssuer
89011T1MedicaidNC

National Provider Directory

National Provider Directory

Locations

2500 Village Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 424-3623

Practitioners & affiliated clinicians

Practitioners 3

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457552259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 VILLAGE DR",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043811",
            "telephone_number": "910-487-0807",
            "fax_number": "910-487-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 VILLAGE DR",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043811",
            "telephone_number": "910-487-0807",
            "fax_number": "910-487-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH N. CATLETT, JR., D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CATLETT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-487-0807",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011T1",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.